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Individual

DR. IFEANYICHUKWU D,C ONUKOGU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4101 22ND PL, LUBBOCK, TX 79410-1121
(806) 725-8000
Mailing address
651 N 5TH ST, NEWARK, NJ 07107-2601
(862) 588-9381

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101281680
VA
207R00000X
Internal Medicine Physician
123456
NY
207RH0003X
Hematology & Oncology Physician
Primary
V2804
TX

Other

Enumeration date
05/31/2018
Last updated
09/20/2024
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