Individual
OBINNA NNAEMEKA ERUCHALU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
907 FITZGERALD ST, MONROE, NC 28112-5680
(704) 226-0531
(704) 292-7880
Mailing address
907 FITZGERALD ST, MONROE, NC 28112-5680
(704) 226-0531
(704) 292-7880
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2085R0204X
Vascular & Interventional Radiology Physician
38331
NC
2085U0001X
Diagnostic Ultrasound Physician
38331
NC
208600000X
Surgery Physician
Primary
00-38331
NC
2086S0129X
Vascular Surgery Physician
38331
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10039
PARTNERS MEDICARE
NC
01
—
1036L
BLUE CROSS/BLUE SHIELD
NC
05
—
8930776
—
NC
Enumeration date
04/11/2006
Last updated
08/22/2025
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