| Chinedu John Ngwudike Pllc | |
|
10301 Gateway Blvd W El Paso TX 79925-7701 | |
| (601) 951-1437 | |
| (915) 899-4034 |
| Full Name | Chinedu John Ngwudike Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10301 Gateway Blvd W, El Paso, Texas |
| Authorized Official Name and Position | Chinedu J Ngwudik (OWNER) |
| Authorized Official Contact | 9158994034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chinedu John Ngwudike Pllc 3800 N Mesa St Ste A2 El Paso TX 79902-1512 Ph: (915) 899-4034 | Chinedu John Ngwudike Pllc 10301 Gateway Blvd W El Paso TX 79925-7701 Ph: (601) 951-1437 |
| NPI Number | 1831953199 |
|---|---|
| Provider Enumeration Date | 02/07/2024 |
| Last Update Date | 02/08/2024 |
| Medicare PECOS PAC ID | 4981048725 |
|---|---|
| Medicare Enrollment ID | O20240220001858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831953199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Chinedu Ngwudike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770111932 PECOS PAC ID: 7911373493 Enrollment ID: I20240220002204 |
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