Provider Demographics
NPI:1376286120
Name:NWACHUKWU, DAVID ONUBUNDU JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ONUBUNDU
Last Name:NWACHUKWU
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DAVY
Other - Middle Name:ONUBUNDU
Other - Last Name:NWACHUKWU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1901 1ST AVE # 2A31
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-7494
Mailing Address - Country:US
Mailing Address - Phone:818-524-9322
Mailing Address - Fax:
Practice Address - Street 1:1901 1ST AVE # 2A31
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-7494
Practice Address - Country:US
Practice Address - Phone:818-524-9322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program