Individual
CHUKWUDI AMARACHUKWU NWOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 RIVERSIDE CIRCLE, 2ND FLOOR NEUROLOGY DEPARTMENT, ROANOKE, VA 24016
(540) 224-5170
(540) 985-9612
Mailing address
3330 CIRCLE BROOK DRIVE, APARTMENT F, ROANOKE, ROANOKE, VA 24018
(540) 597-3357
(540) 985-9612
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0116038505
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W281230606
AETNA
VA
Enumeration date
06/13/2023
Last updated
01/31/2024
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