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NPI Code Detail

MEDICARE: DR. EKENEDILICHUKWU AZUKA ONWUKA

MEDICARE: DR. EKENEDILICHUKWU AZUKA ONWUKA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramOH
22086S0120XPediatric Surgery PhysicianS7113TX

General Provider Information

NPI Number : 1154687960
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EKENEDILICHUKWU AZUKA ONWUKA
Provider Business Mailing Address
First Line : 1333 OLD SPANISH TRL APT 2159
Second Line :
City : HOUSTON
State : TX
Zip : 77054-1860
Country : US
Telephone Number : 219-201-6791
Fax Number :
Provider Business Practice Location Address
First Line : 6701 FANNIN ST STE 1210
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2612
Country : US
Telephone Number : 219-201-6791
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2012
Last Update Date : 07/28/2022

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Directions to “ DR. EKENEDILICHUKWU AZUKA ONWUKA ” Practice Location

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