Individual
IJEOMA NNEKA INNOCENT-ITUAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
180 W ESPLANADE AVE, KENNER, LA 70065-2467
(504) 468-8600
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
674-L
MS
207Q00000X
Family Medicine Physician
Primary
MD.203042
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03104797
—
MS
05
—
1884472
—
LA
Enumeration date
07/23/2007
Last updated
05/05/2017
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