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1326086968

NPI Code Detail

MEDICARE: CHUKWUMA S OGUGUA MD

MEDICARE: CHUKWUMA S OGUGUA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	31497	SC
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	31497	SC
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	2010-01067	NC
4	207RP1001X	Pulmonary Disease Physician	2010-01067	NC
5	207RP1001X	Pulmonary Disease Physician	31497	SC
6	207RP1001X	Pulmonary Disease Physician	70012	MN

General Provider Information

NPI Number	:	1326086968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHUKWUMA S OGUGUA MD

Provider Business Mailing Address
First Line	:	PO BOX 5074
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57117-5074
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1233 34TH ST NW
Second Line	:
City	:	BEMIDJI
State	:	MN
Zip	:	56601-5112
Country	:	US
Telephone Number	:	218-333-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	03/28/2022

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Directions to “ CHUKWUMA S OGUGUA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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