Provider Demographics
NPI:1316206436
Name:CHUKWUEKE, IHUOMA O (MD)
Entity Type:Individual
Prefix:
First Name:IHUOMA
Middle Name:O
Last Name:CHUKWUEKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8856 ARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-1365
Mailing Address - Country:US
Mailing Address - Phone:951-710-3970
Mailing Address - Fax:858-634-6937
Practice Address - Street 1:8856 ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-1365
Practice Address - Country:US
Practice Address - Phone:951-710-3970
Practice Address - Fax:858-634-6937
Is Sole Proprietor?:No
Enumeration Date:2012-05-09
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA134252207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine