Provider Demographics
NPI:1043541956
Name:UDEKWU, VICTOR CHUKWUEMEKA (MD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:CHUKWUEMEKA
Last Name:UDEKWU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:545 N RIVER ST STE 240
Mailing Address - Street 2:
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18702-2643
Mailing Address - Country:US
Mailing Address - Phone:570-706-2620
Mailing Address - Fax:570-706-2627
Practice Address - Street 1:545 N RIVER ST STE 240
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702-2643
Practice Address - Country:US
Practice Address - Phone:570-706-2620
Practice Address - Fax:570-706-2627
Is Sole Proprietor?:No
Enumeration Date:2010-01-18
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA237057207T00000X
NY97860207T00000X
PAMD477384207T00000X
NY292729207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery