Provider Demographics
NPI:1013399104
Name:IKEZUAGU, JUDITH ARANAS (MD)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:ARANAS
Last Name:IKEZUAGU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:
Other - Last Name:ARANAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1701 E FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92544-4632
Mailing Address - Country:US
Mailing Address - Phone:951-658-4486
Mailing Address - Fax:951-925-1666
Practice Address - Street 1:1701 E FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92544-4632
Practice Address - Country:US
Practice Address - Phone:951-658-4486
Practice Address - Fax:951-925-1666
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-24
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301108283207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine