Healthcare Provider Details

I. General information

NPI: 1134805682
Provider Name (Legal Business Name): CHUKWUEZUGO KENECHUKWU ORANU MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 MEDICAL PARK DR E
BIRMINGHAM AL
35235-3401
US

IV. Provider business mailing address

50 MEDICAL PARK DR E
BIRMINGHAM AL
35235-3401
US

V. Phone/Fax

Practice location:
  • Phone: 205-838-3000
  • Fax:
Mailing address:
  • Phone: 205-838-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number53643
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: