| Iwueke Psychatric Clinic | |
|
1601 W Main St Ste D Tupelo MS 38801-3300 | |
| (662) 840-7800 | |
| (662) 842-8899 |
| Full Name | Iwueke Psychatric Clinic |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1601 W Main St Ste D, Tupelo, Mississippi |
| Authorized Official Name and Position | Chika U Iwueke (PRESIDENT) |
| Authorized Official Contact | 6628407800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iwueke Psychatric Clinic 1601 W Main St Ste D Tupelo MS 38801-3300 Ph: (662) 840-7800 | Iwueke Psychatric Clinic 1601 W Main St Ste D Tupelo MS 38801-3300 Ph: (662) 840-7800 |
| NPI Number | 1407266539 |
|---|---|
| Provider Enumeration Date | 04/29/2014 |
| Last Update Date | 01/07/2015 |
| Medicare PECOS PAC ID | 5597984807 |
|---|---|
| Medicare Enrollment ID | O20140918002456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407266539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD46972 (Tennessee) | Primary |
| Provider Name | Chika Uchechukwu Iwueke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649407917 PECOS PAC ID: 5193962629 Enrollment ID: I20130905000232 |
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