Provider Demographics
NPI:1104175009
Name:NJOKU, VICTOR OBIJURU (MD)
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:OBIJURU
Last Name:NJOKU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10807 PERRIN BEITEL RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-3143
Mailing Address - Country:US
Mailing Address - Phone:210-847-1486
Mailing Address - Fax:
Practice Address - Street 1:10807 PERRIN BEITEL RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-3143
Practice Address - Country:US
Practice Address - Phone:210-847-1486
Practice Address - Fax:210-588-0006
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2021-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS22635207R00000X
390200000X
TXQ3254207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX41005659OtherDL