Individual
TOCHUKWU C. IKEJIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
826 MEMORIAL BLVD, SUITE 104, MURFREESBORO, TN 37129-2738
(615) 867-4753
(615) 867-0177
Mailing address
PO BOX 330638, MURFREESBORO, TN 37133-0638
(615) 867-4753
(615) 867-0177
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34072
TN
207R00000X
Internal Medicine Physician
Primary
34072
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3886850
—
TN
01
—
4070446
BLUE CROSS BLUESHIELD
TN
01
—
4089201
TENNCARE SELECT
TN
01
—
P00035887
RAILROAD MEDICARE PIN
TN
Enumeration date
02/13/2006
Last updated
11/19/2014
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