Provider Demographics
NPI:1447042692
Name:OCHURU, AHUDIYA IGWE (MD)
Entity type:Individual
Prefix:
First Name:AHUDIYA
Middle Name:IGWE
Last Name:OCHURU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AHUDIYA
Other - Middle Name:REBECCA
Other - Last Name:ONUOHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1254 S DIAMOND BAR BLVD UNIT B
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-5433
Mailing Address - Country:US
Mailing Address - Phone:909-304-3315
Mailing Address - Fax:
Practice Address - Street 1:1770 N ORANGE GROVE AVE STE 201
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-3027
Practice Address - Country:US
Practice Address - Phone:909-469-9490
Practice Address - Fax:909-865-9601
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program