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NPI Code Detail

MEDICARE: DR. CHIMKAMA NGOZI IBE M.D

MEDICARE: DR. CHIMKAMA NGOZI IBE M.D
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
1207R00000XInternal Medicine PhysicianMD2015-0708NM
2208M00000XHospitalist PhysicianP0905TX
3207R00000XInternal Medicine PhysicianP0905TX

General Provider Information

NPI Number : 1366606337
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHIMKAMA NGOZI IBE M.D
Provider Business Mailing Address
First Line : 1220 RIVER BEND DR STE 250
Second Line :
City : DALLAS
State : TX
Zip : 75247-5073
Country : US
Telephone Number : 281-222-6953
Fax Number :
Provider Business Practice Location Address
First Line : 1220 RIVER BEND DR STE 250
Second Line :
City : DALLAS
State : TX
Zip : 75247-5073
Country : US
Telephone Number : 281-222-6953
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2008
Last Update Date : 08/01/2025

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Directions to “ DR. CHIMKAMA NGOZI IBE M.D” Practice Location

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