MEDICARE: CHUKWUEMEKA O IROHA 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	208M00000X	Hospitalist Physician	12098	NV
2	207R00000X	Internal Medicine Physician	12098	NV

General Provider Information

NPI Number	:	1619942554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHUKWUEMEKA O IROHA MD

Provider Business Mailing Address
First Line	:	2110 E FLAMINGO RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5191
Country	:	US
Telephone Number	:	702-971-3400
Fax Number	:	702-971-3401

Provider Business Practice Location Address
First Line	:	2110 E FLAMINGO RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5191
Country	:	US
Telephone Number	:	702-971-3400
Fax Number	:	702-971-3401

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

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	06/28/2023

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