Provider Demographics
NPI:1932606753
Name:KALU, IFUNANYA ROSEMARY (MD)
Entity Type:Individual
Prefix:DR
First Name:IFUNANYA
Middle Name:ROSEMARY
Last Name:KALU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:IFUNANYA
Other - Middle Name:ROSEMARY
Other - Last Name:UZOMAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2041 GEORGIA AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20059-0001
Mailing Address - Country:US
Mailing Address - Phone:202-865-4833
Mailing Address - Fax:202-865-1773
Practice Address - Street 1:2041 GEORGIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20059-0001
Practice Address - Country:US
Practice Address - Phone:202-865-4833
Practice Address - Fax:202-865-1773
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MDD92067208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist