CHINAEMEREM JEFFREY CHUKWUDORO DO
NPI 1871439505
Student in an Organized Health Care Education/Training Program in Shreveport, LA

Q: What is Chinaemerem Chukwudoro's NPI number?

The NPI number for Chinaemerem Chukwudoro is 1871439505. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Q: What is Chinaemerem Chukwudoro's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 27, 2026PECOS Enrolled

1541 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0000 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Chinaemerem Jeffrey Chukwudoro Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHINAEMEREM JEFFREY CHUKWUDORO DO (NPI 1871439505) is an individual student in an organized health care education/training program in Shreveport, Louisiana and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871439505

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCHINAEMEREM JEFFREY CHUKWUDOROCredential: DO

Location Address1541 KINGS HWYShreveport, LA 71103-4228

Mailing Address2211 Brushmeade LnSugar Land, TX 77479-8826

Phone(318) 626-0000

Sole ProprietorNo

Enumeration DateApril 27, 2026

NPPES CertifiedApril 23, 2026

✔ NPI 1871439505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1541 KINGS HWY, Shreveport, LA 71103

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chinaemerem Jeffrey Chukwudoro Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRATIK AGRAWAL

Internal Medicine (Cardiovascular Disease)