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NPI Code Detail

MEDICARE: DR. KELECHI ADANNAYA IWUJI MD

MEDICARE:  DR. KELECHI ADANNAYA IWUJI  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
1207R00000XInternal Medicine PhysicianMT236345PA

General Provider Information

NPI Number : 1639060007
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KELECHI ADANNAYA IWUJI MD
Provider Business Mailing Address
First Line : 904 MAGEE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-4814
Country : US
Telephone Number : 267-972-5758
Fax Number : 267-972-5758
Provider Business Practice Location Address
First Line : 2601 HOLME AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-2096
Country : US
Telephone Number : 267-957-7027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2025
Last Update Date : 06/22/2026

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Directions to “ DR. KELECHI ADANNAYA IWUJI MD” Practice Location

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