Provider Demographics
NPI:1619942554
Name:IROHA, CHUKWUEMEKA O (MD)
Entity Type:Individual
Prefix:
First Name:CHUKWUEMEKA
Middle Name:O
Last Name:IROHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:EMEKA
Other - Middle Name:O
Other - Last Name:IROHA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2110 E FLAMINGO RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5191
Mailing Address - Country:US
Mailing Address - Phone:702-971-3400
Mailing Address - Fax:702-971-3401
Practice Address - Street 1:2110 E FLAMINGO RD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5191
Practice Address - Country:US
Practice Address - Phone:702-971-3400
Practice Address - Fax:702-971-3401
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12098208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1619942554Medicaid