Individual
DR. IFEDIBA ADOULPHOUS NWACHUKWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5018
(405) 271-6173
Mailing address
6017 MADISON STREET, APT 3R, RIEGEWOOD, NY 11385
(718) 314-1029
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0000000
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2020
Last updated
05/29/2023
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