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NPI Code Detail

MEDICARE: FAVOR NGOZI CHIKELU

MEDICARE:   FAVOR NGOZI CHIKELU
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1669814968
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAVOR NGOZI CHIKELU
Provider Business Mailing Address
First Line : 2617 CALICO HEARTS CT
Second Line : LAS VEGAS
City : LAS VEGAS
State : NV
Zip : 89106-1443
Country : US
Telephone Number : 702-772-3663
Fax Number :
Provider Business Practice Location Address
First Line : 2617 CALICO HEARTS CT
Second Line : LAS VEGAS
City : LAS VEGAS
State : NV
Zip : 89106-1443
Country : US
Telephone Number : 702-772-3663
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2013
Last Update Date : 09/19/2013

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Directions to “ FAVOR NGOZI CHIKELU ” Practice Location

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