Provider Demographics
NPI:1881385896
Name:NWACHUKWU, CHIOMA VICTORIA (MD)
Entity type:Individual
Prefix:
First Name:CHIOMA
Middle Name:VICTORIA
Last Name:NWACHUKWU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHIOMA
Other - Middle Name:VICTORIA
Other - Last Name:NWIZU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:16 GUION PLACE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801
Mailing Address - Country:US
Mailing Address - Phone:914-365-3680
Mailing Address - Fax:914-365-5489
Practice Address - Street 1:16 GUION PLACE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801
Practice Address - Country:US
Practice Address - Phone:914-365-3680
Practice Address - Fax:914-365-5489
Is Sole Proprietor?:No
Enumeration Date:2023-05-19
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program