Chukwuma, Ifeanyichukwu Gabriel
Chukwuma, Ifeanyichukwu Gabriel is an individual health care provider with primary practice located at 1060 First Colonial Rd , Virginia Beach VA 23454-3002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Chukwuma, Ifeanyichukwu Gabriel can be contacted via phone (757) 395-2323.Contact Information
Primary practice address
1060 First Colonial Rd
Virginia Beach VA 23454-3002
Phone: (757) 395-2323
Fax: (757) 395-6280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R-9360 | Iowa |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 0101258135 | Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101258135 | Virginia |
Profile Details
| NPI number | 1356602429 |
|---|---|
| LBN Legal business name | Chukwuma, Ifeanyichukwu Gabriel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2012 |
| Last updated | Jun 26th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356602429 | NPPES |
| Virginia | MEDICAID | 1356602429 |
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