Provider Demographics
NPI:1982048260
Name:NWANKWO, CHINEDU I (MD)
Entity Type:Individual
Prefix:DR
First Name:CHINEDU
Middle Name:I
Last Name:NWANKWO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12435 N RACHLIN CIR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2819
Mailing Address - Country:US
Mailing Address - Phone:832-232-2356
Mailing Address - Fax:281-783-2005
Practice Address - Street 1:12435 N RACHLIN CIR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071
Practice Address - Country:US
Practice Address - Phone:832-232-2356
Practice Address - Fax:281-783-2005
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-17
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ9458207Q00000X
NH17721207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine