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NPI Code Detail

MEDICARE: TOCHUKWU JUDE ONYEKWELU MD

MEDICARE: TOCHUKWU JUDE ONYEKWELU 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
1208600000XSurgery PhysicianBP10064880TX
2208600000XSurgery Physician90774SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BP10064880OTHERTXTEXAS MEDICAL BOARD

General Provider Information

NPI Number : 1376960849
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOCHUKWU JUDE ONYEKWELU MD
Provider Business Mailing Address
First Line : 9313 MEDICAL PLAZA DR STE 204
Second Line :
City : CHARLESTON
State : SC
Zip : 29406-9176
Country : US
Telephone Number : 843-797-5151
Fax Number : 843-572-6939
Provider Business Practice Location Address
First Line : 9313 MEDICAL PLAZA DR STE 204
Second Line :
City : CHARLESTON
State : SC
Zip : 29406-9176
Country : US
Telephone Number : 843-797-5151
Fax Number : 843-572-6939
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2014
Last Update Date : 10/11/2023

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