DR. IKECHUKWU UCHENNA MBAGWU MD NPI 1124602040

NPI Information

DR. Ikechukwu Uchenna Mbagwu, MD is a student in an organized health care education training program in Southfield, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Ikechukwu Uchenna Mbagwu, MD NPI is 1124602040. 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:

22250 PROVIDENCE DR.
3PMB SUITE #301
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 849-3281
Fax: (248) 849-5449

The enumeration date for this NPI number is 5/6/2021 and was last updated on 7/8/2021.

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:

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