Basic Information
| Provider Information | |||||||||
| NPI: | 1548524861 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | IWUJI | ||||||||
| FirstName: | KELECHI | ||||||||
| MiddleName: | UZOMA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1051 | ||||||||
| Address2: | |||||||||
| City: | COLLIERVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 380271051 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9017589900 | ||||||||
| FaxNumber: | 9017522335 | ||||||||
| Practice Location | |||||||||
| Address1: | 6019 WALNUT GROVE RD | ||||||||
| Address2: | |||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381202113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9017616157 | ||||||||
| FaxNumber: | 9017614145 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/02/2012 | ||||||||
| LastUpdateDate: | 07/26/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | E-9929 | AR | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207R00000X | E-9929 | AR | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 4301101013 | MI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 52959 | TN | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | 52959 | TN | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.