Provider Demographics
NPI:1598488504
Name:ANIAGU, CHUKWUEBUKA ALEXANDER (TRANSPORTATION ENROL)
Entity Type:Individual
Prefix:MR
First Name:CHUKWUEBUKA
Middle Name:ALEXANDER
Last Name:ANIAGU
Suffix:
Gender:M
Credentials:TRANSPORTATION ENROL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11900 RESEARCH RD APT 3411
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-3698
Mailing Address - Country:US
Mailing Address - Phone:469-766-6223
Mailing Address - Fax:
Practice Address - Street 1:11900 RESEARCH RD APT 3411
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-3698
Practice Address - Country:US
Practice Address - Phone:469-766-6223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-23
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)