Individual
DR. IFEANYICHUKWU JUDE ANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
860 OMNI BLVD, STE 107, NEWPORT NEWS, VA 23606-4430
(757) 873-2562
(757) 873-2570
Mailing address
860 OMNI BLVD STE 101, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101255509
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2008
Last updated
03/18/2021
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