Individual provider · Type 1 NPI

Ignatius Junior Chukwuemeka Mmodebelu, MD

Student in an Organized Health Care Education/Training Program · El Paso, TX

NPI number 1508569823 Active

Practice location

10175 Gateway Blvd W Ste 140
El Paso, TX 79925-7618

Call (915) 283-3953 Map

Fax (915) 283-3954

Mailing address

10175 Gateway Blvd W Ste 300
El Paso, TX 79925-7618

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508569823

Ignatius Junior Chukwuemeka Mmodebelu, MD's National Provider Identifier is 1508569823, issued on Mar 24, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in El Paso, TX. The record was last updated on Mar 24, 2023.