Provider Demographics
NPI:1811046238
Name:EGBUJOR, RACHEL CHIENYENWA (MD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:CHIENYENWA
Last Name:EGBUJOR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6484 FORT CAROLINE RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32277-2042
Mailing Address - Country:US
Mailing Address - Phone:904-744-7300
Mailing Address - Fax:904-722-4271
Practice Address - Street 1:6484 FORT CAROLINE RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32277-2042
Practice Address - Country:US
Practice Address - Phone:904-745-3618
Practice Address - Fax:904-722-4271
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2023-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLTRN10233208000000X
FLME104984208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics