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NPI Code Detail

MEDICARE: DR. IFUNANYA OJUKWU MD

MEDICARE: DR. IFUNANYA OJUKWU MD
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
1207Q00000XFamily Medicine Physician91695GA
2207Q00000XFamily Medicine PhysicianMT217558PA
3207Q00000XFamily Medicine Physician01090915AIN

General Provider Information

NPI Number : 1518525708
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IFUNANYA OJUKWU MD
Provider Business Mailing Address
First Line : 5115 W WASHINGTON ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46241-2205
Country : US
Telephone Number : 317-799-1268
Fax Number :
Provider Business Practice Location Address
First Line : 4525 LAFAYETTE RD STE A
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-2011
Country : US
Telephone Number : 317-821-7346
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2019
Last Update Date : 04/14/2026

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