Provider Demographics
NPI:1629112024
Name:DUZE, NKEIRUKA C (MD)
Entity Type:Individual
Prefix:
First Name:NKEIRUKA
Middle Name:C
Last Name:DUZE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NKEIRUKA
Other - Middle Name:C
Other - Last Name:NWOKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1100 9TH AVE
Mailing Address - Street 2:MS:M4-PFS
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2756
Mailing Address - Country:US
Mailing Address - Phone:206-515-5811
Mailing Address - Fax:
Practice Address - Street 1:1100 9TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2756
Practice Address - Country:US
Practice Address - Phone:206-583-2299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-18
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60074694207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0255399OtherL & I
WA8554586Medicaid
WAG8886352Medicare PIN
WA8554586Medicaid
WAG8885207Medicare PIN