Provider Demographics
NPI:1891094561
Name:EWELUKWA, OFORBUIKE CHUKWUNENYE (MD)
Entity Type:Individual
Prefix:
First Name:OFORBUIKE
Middle Name:CHUKWUNENYE
Last Name:EWELUKWA
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 1:23920 KATY FWY STE 215
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0881
Mailing Address - Country:US
Mailing Address - Phone:281-766-0331
Mailing Address - Fax:281-665-7915
Practice Address - Street 1:23920 KATY FWY STE 215
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-0881
Practice Address - Country:US
Practice Address - Phone:281-766-0331
Practice Address - Fax:281-665-7915
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXR3503207RG0100X
OH35.122783207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine