Provider Demographics
NPI:1467637140
Name:CHUKWURAH, CHINWE NGOZI NNEKA (MD)
Entity Type:Individual
Prefix:DR
First Name:CHINWE
Middle Name:NGOZI NNEKA
Last Name:CHUKWURAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHINWE
Other - Middle Name:NGOZI NNEKA
Other - Last Name:EDEOGU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3029 N ALMA SCHOOL RD
Mailing Address - Street 2:STE 109
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-1465
Mailing Address - Country:US
Mailing Address - Phone:480-977-1850
Mailing Address - Fax:480-977-1851
Practice Address - Street 1:3029 N ALMA SCHOOL RD STE 109
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-1465
Practice Address - Country:US
Practice Address - Phone:480-977-1850
Practice Address - Fax:480-977-1851
Is Sole Proprietor?:No
Enumeration Date:2008-01-01
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ51733207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine