Provider Demographics
NPI:1265707582
Name:IBEKWE, CHUKWUEMEKA I (MD)
Entity type:Individual
Prefix:
First Name:CHUKWUEMEKA
Middle Name:I
Last Name:IBEKWE
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 1:920 MEDICAL PLAZA DR STE 340
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3256
Mailing Address - Country:US
Mailing Address - Phone:713-897-4909
Mailing Address - Fax:713-897-4919
Practice Address - Street 1:21720 KINGSLAND BLVD
Practice Address - Street 2:2ND FLOOR ADMINISTRATION
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2550
Practice Address - Country:US
Practice Address - Phone:713-500-5874
Practice Address - Fax:281-579-5601
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA075313208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation