Provider Demographics
NPI:1568924660
Name:MUOJIEJE, CHUKWUDI CHARLES (MD)
Entity type:Individual
Prefix:
First Name:CHUKWUDI
Middle Name:CHARLES
Last Name:MUOJIEJE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4502 N SONOMA RANCH BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-8262
Mailing Address - Country:US
Mailing Address - Phone:575-800-3636
Mailing Address - Fax:
Practice Address - Street 1:4502 N SONOMA RANCH BLVD
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-8262
Practice Address - Country:US
Practice Address - Phone:575-800-3636
Practice Address - Fax:575-288-1861
Is Sole Proprietor?:No
Enumeration Date:2019-04-05
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD20240787207RE0101X
NMMD2024-0787207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism