Individual
TOCHUKWU C ILOABUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6677 W MAY APPLE DR, MCCORDSVILLE, IN 46055-4447
(317) 426-1797
Mailing address
6677 W MAY APPLE DR, MCCORDSVILLE, IN 46055-4447
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
01068679A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201069810
—
IN
01
—
P01114681
RAILROAD MEDICARE
IN
Enumeration date
01/20/2009
Last updated
04/22/2019
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