Provider Demographics
NPI:1235931270
Name:ORAEKWUTE, IFEYINWA MONICA (MD)
Entity type:Individual
Prefix:
First Name:IFEYINWA
Middle Name:MONICA
Last Name:ORAEKWUTE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 SPRING HILL AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36604-1409
Mailing Address - Country:US
Mailing Address - Phone:251-435-7554
Mailing Address - Fax:251-435-6629
Practice Address - Street 1:1720 SPRING HILL AVE STE 202
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-1409
Practice Address - Country:US
Practice Address - Phone:251-435-7554
Practice Address - Fax:251-435-6629
Is Sole Proprietor?:No
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program