Provider Demographics
NPI:1801848023
Name:AKUCHIE, MAURICE EKECHI (MD)
Entity Type:Individual
Prefix:
First Name:MAURICE
Middle Name:EKECHI
Last Name:AKUCHIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3808 WOODLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-1933
Mailing Address - Country:US
Mailing Address - Phone:713-412-2821
Mailing Address - Fax:281-993-4453
Practice Address - Street 1:3808 WOODLAWN AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1933
Practice Address - Country:US
Practice Address - Phone:713-412-2821
Practice Address - Fax:281-993-4453
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2528207RI0200X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX612432Medicare PIN
I50604Medicare UPIN
8F3818Medicare PIN