Provider Demographics
NPI:1770862914
Name:NWAKILE, CHINUALUMOGU CHIMAOBI (MD)
Entity Type:Individual
Prefix:DR
First Name:CHINUALUMOGU
Middle Name:CHIMAOBI
Last Name:NWAKILE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6400 FANNIN ST STE 2350
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1554
Mailing Address - Country:US
Mailing Address - Phone:713-486-5075
Mailing Address - Fax:713-486-4355
Practice Address - Street 1:6400 FANNIN ST STE 2350
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1554
Practice Address - Country:US
Practice Address - Phone:713-486-5075
Practice Address - Fax:713-486-4355
Is Sole Proprietor?:No
Enumeration Date:2011-08-05
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT 198960207R00000X
MO2017011105207RC0000X
TXS8886207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease