Individual
DR. PROMISE OJUKWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5320 S RAINBOW BLVD STE 182, LAS VEGAS, NV 89118-1896
(702) 255-3547
(702) 212-4993
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
17523
NV
207VX0000X
Obstetrics Physician
036136819
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036136819
—
IL
01
—
CF3444
MEDICARE RR
IL
Enumeration date
11/24/2010
Last updated
11/02/2022
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