IKECHUKWU OSUJI M.D PA NPI 1407994056

NPI Information

NPI: 1407994056
Provider Name: IKECHUKWU OSUJI, M.D PA
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1110 E. PLEASANT RUN ROAD
DESOTO, TX
ZIP 75115
Phone: (972) 230-8881
Get Directions

IKECHUKWU OSUJI, M.D PA is a medical specialty clinic center in Desoto, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). IKECHUKWU OSUJI, M.D PA NPI is 1407994056. The provider is registered as an organization entity type.

The provider's business location address is:

1110 E. PLEASANT RUN ROAD
DESOTO, TX
ZIP 75115
Phone: (972) 230-8881
Fax: (972) 230-8810

The provider's authorized official is Tochi A. Osuji .
The authorized official title is Manager and has the following contact phone number (972) 230-8881.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 9/20/2017.

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	261QM2500X	Clinic/Center	Medical Specialty	K6669	TEXAS	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	Other Provider Identifier Issuer
1	G34728	MEDICARE UPIN	TEXAS
2	165471701	MEDICAID	TEXAS
3	0076QJ	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
4	122225912	MEDICAID	TEXAS
5	00863V	MEDICARE PIN	TEXAS

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: 11/14/2023

NPI Synchronization or Removal

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