Individual
IFEANYICHUKWU GABRIEL CHUKWUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1060 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3002
(757) 395-2323
(757) 395-6280
Mailing address
1060 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3002
(757) 395-2323
(757) 395-6280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101258135
VA
207Q00000X
Family Medicine Physician
R-9360
IA
208M00000X
Hospitalist Physician
0101258135
VA
208M00000X
Hospitalist Physician
Primary
76960
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356602429
—
VA
Enumeration date
06/05/2012
Last updated
06/03/2025
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