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NPI Code Detail

MEDICARE: CHINWE NDUKA MD FAMILY PRACTICE PA

MEDICARE: CHINWE NDUKA MD FAMILY PRACTICE PA
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 Physician

General Provider Information

NPI Number : 1568646636
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHINWE NDUKA MD FAMILY PRACTICE PA
Provider Business Mailing Address
First Line : 125 W HAGUE RD STE 140
Second Line :
City : EL PASO
State : TX
Zip : 79902-5811
Country : US
Telephone Number : 915-774-0458
Fax Number : 915-774-0027
Provider Business Practice Location Address
First Line : 3515 GATEWAY BLVD W
Second Line :
City : EL PASO
State : TX
Zip : 79903-4413
Country : US
Telephone Number : 915-774-0458
Fax Number : 915-774-0027
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. CHINWE NDUKA
Credential : M.D.
Telephone Number : 915-774-0458
Provider Enumeration Date : 12/24/2007
Last Update Date : 07/07/2022

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Directions to “CHINWE NDUKA MD FAMILY PRACTICE PA ” Practice Location

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