Provider Demographics
NPI:1376960849
Name:ONYEKWELU, TOCHUKWU JUDE (MD)
Entity Type:Individual
Prefix:
First Name:TOCHUKWU
Middle Name:JUDE
Last Name:ONYEKWELU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9313 MEDICAL PLAZA DR STE 204
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9176
Mailing Address - Country:US
Mailing Address - Phone:843-797-5151
Mailing Address - Fax:843-572-6939
Practice Address - Street 1:9313 MEDICAL PLAZA DR STE 204
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9176
Practice Address - Country:US
Practice Address - Phone:843-797-5151
Practice Address - Fax:843-572-6939
Is Sole Proprietor?:No
Enumeration Date:2014-03-24
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10064880208600000X
SC90774208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXBP10064880OtherTEXAS MEDICAL BOARD