Basic Information
Provider Information
NPI: 1255473625
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NWOSU
FirstName: HILARY
MiddleName: CHUKWUDINMA
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5757 S STAPLES ST
Address2: APT. # 4109
City: CORPUS CHRISTI
State: TX
PostalCode: 784133732
CountryCode: US
TelephoneNumber: 3617230492
FaxNumber:  
Practice Location
Address1: 5850 S MAIN ST
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900031215
CountryCode: US
TelephoneNumber: 3238464312
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/13/2007
LastUpdateDate: 03/08/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207PP0204XA84336CAN Allopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
207P00000XMD.207300LAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


Home