Provider Demographics
NPI:1932385911
Name:ORAGWU, CHUKWUEMEKA L (MD)
Entity Type:Individual
Prefix:MR
First Name:CHUKWUEMEKA
Middle Name:L
Last Name:ORAGWU
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 1:1207 N HOUSTON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-2592
Mailing Address - Country:US
Mailing Address - Phone:281-570-2606
Mailing Address - Fax:281-570-2611
Practice Address - Street 1:1207 N HOUSTON AVE STE A
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-2592
Practice Address - Country:US
Practice Address - Phone:281-570-2606
Practice Address - Fax:281-570-2611
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-21
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT047901207Q00000X
TXN6950207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004236346Medicaid
D400006264Medicare PIN