Healthcare Provider Details

I. General information

NPI: 1437786191
Provider Name (Legal Business Name): CYPRIAN CHUKWUDI AFUNUGO JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1542 TULANE AVE
NEW ORLEANS LA
70112-2865
US

IV. Provider business mailing address

3300 MAIN ST APT 1616
HOUSTON TX
77002-1364
US

V. Phone/Fax

Practice location:
  • Phone: 504-568-4081
  • Fax:
Mailing address:
  • Phone: 504-568-4081
  • Fax:

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 StateNULL
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number340599
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: