Healthcare Provider Details

I. General information

NPI: 1508494303
Provider Name (Legal Business Name): SOMTOCHUKWU GINIGEME OJUKWU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2020
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17050 MEDICAL CENTER DR
BATON ROUGE LA
70816-3221
US

IV. Provider business mailing address

1514 JEFFERSON HWY
NEW ORLEANS LA
70121-2451
US

V. Phone/Fax

Practice location:
  • Phone: 225-761-5200
  • Fax: 225-754-5043
Mailing address:
  • Phone: 504-842-8718
  • Fax: 504-842-6903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number353729
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: