Individual
DR. CHIDOZIE CHARLES AGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4934
(505) 841-1430
Mailing address
8600 MONSOON RD NW, ALBUQUERQUE, NM 87120-7084
(832) 814-6007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2017-0127
NM
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD2017-0127
NM
207RP1001X
Pulmonary Disease Physician
MD2017-0127
NM
Other
Enumeration date
08/20/2012
Last updated
02/08/2022
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