Individual
IKENNA C OSUORJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4050 NORTHRISE DR, LAS CRUCES, NM 88011-7327
(575) 652-3040
(575) 652-3093
Mailing address
4050 NORTHRISE DR, LAS CRUCES, NM 88011-7327
(575) 650-3335
(575) 652-3093
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD2014-0490
NM
207RH0003X
Hematology & Oncology Physician
S5241
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2007
Last updated
08/04/2020
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