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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356602429 NPPES
Virginia MEDICAID 1356602429

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