Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 52347 | TN |
N | 207R00000X | Internist | 52347 | TN |
N | 111NI0900X | Internist | 52347 | TN |
NPI | 1013276815 |
---|---|
Provider Name | Chukwuma Umunakwe |
First Address | Oak Ridge, TN 37830-6976 |
Second Address | Oak Ridge, TN 37830-6976 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2012 |
Last Update Date | 19/11/2021 |