Provider Demographics
NPI:1881897288
Name:OGBU, CHIJIOKE EJIOFOR (MD, MPH)
Entity type:Individual
Prefix:
First Name:CHIJIOKE
Middle Name:EJIOFOR
Last Name:OGBU
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 FURMAN AVE
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-2325
Mailing Address - Country:US
Mailing Address - Phone:361-882-9278
Mailing Address - Fax:361-882-9279
Practice Address - Street 1:614 FURMAN AVE
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2325
Practice Address - Country:US
Practice Address - Phone:361-882-9278
Practice Address - Fax:361-882-9279
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361233721207RN0300X
IA38394207RN0300X
TXP7826207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0175471Medicaid
IL05232009OtherBCBS MNG
IL1598824492OtherGROUP NPI
IL036123372Medicaid
1740349034OtherGROUP NPI
IL08100343OtherBCBS
IA56266OtherWELLMARK
IL93122OtherWELLMARK
ILCC2945OtherRAILROAD MEDICARE
IACH1577OtherRAILROAD MEDICARE
TX3280885-02Medicaid
IL305250Medicare PIN
IL1598824492OtherGROUP NPI
IA56266OtherWELLMARK
IA0175471Medicaid