IFEANYI OBIANYO IWUCHUKWU MD NPI 1215169974

NPI Information

NPI: 1215169974
Provider Name: IFEANYI OBIANYO IWUCHUKWU, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
2801 NW 79TH AVE
DORAL, FL
ZIP 33122
Phone: (786) 466-1000
Get Directions

Ifeanyi Obianyo Iwuchukwu, MD is a neurology psychiatry neurology in Doral, FL with 22 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Ifeanyi Obianyo Iwuchukwu, MD NPI is 1215169974. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2801 NW 79TH AVE
DORAL, FL
ZIP 33122-174
Phone: (786) 466-1000

The NPI 1215169974 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/13/2009 and was last updated on 12/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	MD.205842	LOUISIANA	No
2	2084N0400X	Psychiatry & Neurology	Neurology	2010-00334	NORTH CAROLINA	No
3	2084N0400X	Psychiatry & Neurology	Neurology	0101244159	VIRGINIA	No
4	2084N0400X	Psychiatry & Neurology	Neurology	100378	WISCONSIN	No
5	2084N0400X	Psychiatry & Neurology	Neurology	MD18915	RHODE ISLAND	No
6	2084N0400X	Psychiatry & Neurology	Neurology	39314	SOUTH CAROLINA	No
7	2084N0400X	Psychiatry & Neurology	Neurology	036123462	ILLINOIS	No
8	2084N0400X	Psychiatry & Neurology	Neurology	ME155523	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00277248	MEDICAID	MISSISSIPPI
2	393149	MEDICAID	SOUTH CAROLINA
3	2317164	MEDICAID	LOUISIANA
4	113881400	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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