Organization Name: | E AND D NCHEKWUBE, MD, INC |
NPI Number: | 1194917369 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONNA N NCHEKWUBE (CORPORATE SECRETARY) |
Mailing Address: | 1825 Civic Center Dr #17 Santa Clara |
State: | CA US |
Postal Code: | 950507302 |
Phone Number: | 4082363500 |
Fax Number: | 4082363571 |
NPI Enumeration Date: | 08/13/2007 |
NPI Last Update Date: | 03/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G39162 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |