Provider Demographics
NPI:1700143914
Name:ACHOJA, RUKE OGHENERUKEVWE (MD)
Entity Type:Individual
Prefix:DR
First Name:RUKE
Middle Name:OGHENERUKEVWE
Last Name:ACHOJA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:OGHENERUKEVWE
Other - Middle Name:
Other - Last Name:ACHOJA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1211 W LA PALMA AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-2802
Mailing Address - Country:US
Mailing Address - Phone:714-710-7731
Mailing Address - Fax:714-710-7741
Practice Address - Street 1:1111 W LA PALMA AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-2804
Practice Address - Country:US
Practice Address - Phone:714-774-1450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA141181207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology