MEDICARE: DR. CHRISTOPHER ANIKWE AJUFO M.D.

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
1	207R00000X	Internal Medicine Physician	Q0398	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8EK687	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1811220015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER ANIKWE AJUFO M.D.

Provider Business Mailing Address
First Line	:	12650 NACOGDOCHES RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-2118
Country	:	US
Telephone Number	:	440-681-0664
Fax Number	:	210-617-4480

Provider Business Practice Location Address
First Line	:	12650 NACOGDOCHES RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-2118
Country	:	US
Telephone Number	:	440-681-0664
Fax Number	:	210-617-4480

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2009
Last Update Date	:	10/27/2023

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