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VICTOR A. NWACHUKU M.D. PC NPI 1821122672


NPI Information

NPI: 1821122672
Provider Name: VICTOR A. NWACHUKU, M.D., PC

Doing Business As: CASSIE HEALTH CENTER

Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

CLIA Number: 32D2275985

Address:
1618 EAST PINE STREET
SILVER CITY, NM
ZIP 88061
Phone: (575) 388-1561
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VICTOR A. NWACHUKU, M.D., PC is an obstetrics obstetrics gynecology in Silver City, NM. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee VICTOR A. NWACHUKU, M.D., PC NPI is 1821122672. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cassie Health Center.

The provider's business location address is:

1618 EAST PINE STREET
SILVER CITY, NM
ZIP 88061-260
Phone: (575) 388-1561
Fax: (575) 388-9952

The provider's authorized official is Justine Munoz .
The authorized official title is Practice Manager and has the following contact phone number (575) 388-1561.

The CLIA number assigned to this NPI record is 32D2275985 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 2/9/2023.


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
1207Q00000XFamily MedicineNo
2363LF0000XNurse PractitionerFamilyNo
3363LP0200XNurse PractitionerPediatricsNo
4207VX0000XObstetrics & GynecologyObstetricsYes

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 Other Provider Identifier Issuer
1000B5081MEDICAIDNEW MEXICO

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: 5/5/2024

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