Physician Compare National (NPI:1487748661)

HEALTHCARE PROVIDER: DR. CHUKWUMA C OSUAGWU

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1487748661
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507930112
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101213001152
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OSUAGWU
	Individual professional last name
Provider First Name	CHUKWUMA
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1015 W CENTERVILLE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 118
	Group Practice or individual's line 2 address
City	GARLAND
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	750415929
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y