Chukwuocha Md Inc | |
5189 Hospital Rd Mariposa CA 95338-9524 | |
(201) 447-4447 | |
Not Available |
Full Name | Chukwuocha Md Inc |
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Speciality | Internal Medicine |
Location | 5189 Hospital Rd, Mariposa, California |
Authorized Official Name and Position | Uzor Chukwuocha (OWNER) |
Authorized Official Contact | 5105995002 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chukwuocha Md Inc 8535 N Jackson Ave Fresno CA 93720-1975 Ph: () - | Chukwuocha Md Inc 5189 Hospital Rd Mariposa CA 95338-9524 Ph: (201) 447-4447 |
NPI Number | 1790241172 |
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Provider Enumeration Date | 02/11/2019 |
Last Update Date | 02/11/2019 |
Medicare PECOS PAC ID | 5294075347 |
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Medicare Enrollment ID | O20190327001960 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790241172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Uzoma Raymond Chukwu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255741567 PECOS PAC ID: 7911216940 Enrollment ID: I20151014001319 |
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John C Fremont Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5189 Hospital Rd, Mariposa, CA 95338 Phone: 209-966-3631 Fax: 209-966-3776 | |
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