Provider Demographics
NPI:1467637140
Name:CHUKWURAH, CHINWE NGOZI NNEKA (MD)
Entity type:Individual
Prefix:DR
First Name:CHINWE
Middle Name:NGOZI NNEKA
Last Name:CHUKWURAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHINWE
Other - Middle Name:NGOZI NNEKA
Other - Last Name:EDEOGU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:102 WOODMONT BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-5250
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:480-977-1851
Practice Address - Street 1:6843 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-8207
Practice Address - Country:US
Practice Address - Phone:480-870-7300
Practice Address - Fax:480-906-2172
Is Sole Proprietor?:No
Enumeration Date:2008-01-01
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ51733207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine