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NPI Code Detail

MEDICARE: IFEOMA CHIEGBOKA

MEDICARE: IFEOMA CHIEGBOKA
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 Physician86120NM

General Provider Information

NPI Number : 1568325157
Entity Type Code : Individual
Provider Name (Legal Business Name) : IFEOMA CHIEGBOKA
Provider Business Mailing Address
First Line : 1501 SAN PEDRO DR SE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87108-5153
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1501 SAN PEDRO DR SE APT 384
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87108-5153
Country : US
Telephone Number : 540-354-6838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ IFEOMA CHIEGBOKA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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