Provider Demographics
NPI:1063382653
Name:AKACHI AZUBUIKE, MD, PC, A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:AKACHI AZUBUIKE, MD, PC, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AKACHI
Authorized Official - Middle Name:C
Authorized Official - Last Name:AZUBUIKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-217-5427
Mailing Address - Street 1:2508 EUCLID CRES E
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91784-1135
Mailing Address - Country:US
Mailing Address - Phone:909-217-5427
Mailing Address - Fax:213-410-5188
Practice Address - Street 1:16077 KAMANA RD
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-1331
Practice Address - Country:US
Practice Address - Phone:909-217-5427
Practice Address - Fax:213-410-5188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-08
Last Update Date:2025-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care