Provider Demographics
NPI:1255741567
Name:CHUKWU, UZOMA (MD)
Entity type:Individual
Prefix:
First Name:UZOMA
Middle Name:
Last Name:CHUKWU
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 1:20040 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:FRIANT
Mailing Address - State:CA
Mailing Address - Zip Code:93626-7941
Mailing Address - Country:US
Mailing Address - Phone:510-599-5002
Mailing Address - Fax:
Practice Address - Street 1:4770 W HERNDON AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-8401
Practice Address - Country:US
Practice Address - Phone:559-450-6310
Practice Address - Fax:559-450-6311
Is Sole Proprietor?:No
Enumeration Date:2014-05-08
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA136388207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine