Individual
KENECHUKWU EMEKA NWAFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13777 SUNNYVALE LN, CARMEL, IN 46074-6403
(215) 990-5601
Mailing address
13777 SUNNYVALE LN, CARMEL, IN 46074-6403
(215) 990-5601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01064281A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000978237
ANTHEM
IN
05
—
200873190
—
IN
Enumeration date
07/23/2007
Last updated
10/26/2016
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