Provider Demographics
NPI:1255835138
Name:CHUKWURAH, VIVIAN ONYINYECHUKWUKA (MD)
Entity type:Individual
Prefix:DR
First Name:VIVIAN
Middle Name:ONYINYECHUKWUKA
Last Name:CHUKWURAH
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 CANTERBURY DR
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2370
Mailing Address - Country:US
Mailing Address - Phone:785-623-5000
Mailing Address - Fax:
Practice Address - Street 1:2108 TEXAS AVE STE 3061
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3903
Practice Address - Country:US
Practice Address - Phone:318-442-2232
Practice Address - Fax:318-442-9940
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA345830207RH0003X
KS04-50047207RH0003X
FLME154238207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine