Healthcare Provider Details

I. General information

NPI: 1881897288
Provider Name (Legal Business Name): CHIJIOKE EJIOFOR OGBU M.D., MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

614 FURMAN AVE
CORPUS CHRISTI TX
78404-2325
US

IV. Provider business mailing address

614 FURMAN AVE
CORPUS CHRISTI TX
78404-2325
US

V. Phone/Fax

Practice location:
  • Phone: 361-882-9278
  • Fax: 361-882-9279
Mailing address:
  • Phone: 361-882-9278
  • Fax: 361-882-9279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number0361233721
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number38394
License Number StateIA
# 3
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberP7826
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: