Individual provider · NPI-1
Onyinyechukwu Igbokwe, MD
Family Medicine · Espanola, NM
NPI number1811550585
StatusActive
Last updated in NPPESDec 20, 2022
Details
- NPI
- 1811550585
- Entity type
- Individual (NPI-1)
- Name
- Onyinyechukwu Igbokwe
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2019
- Certification date
- Dec 20, 2022
- Last updated
- Dec 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD2022-0429 | NM | Yes |
Practice location
1010 Spruce St 2nd Fl Area 2Espanola, NM 87532-2724
Phone 505-367-0340 · Fax 845-647-7632
Mailing address
Po Box 26666Provider Enrollment
Albuquerque, NM 87125-6666
Phone 505-923-6770 · Fax 505-923-5354
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