IndividualActive
Chuka Ifeanyi, M.D.
NPI 1649407487 · Otolaryngology Physician · Shreveport, LA
Provider details
- NPI number
- 1649407487
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- R-8725 (IA)
Practice location
1455 E Bert Koun Loop
#206
Shreveport, LA 71105-5634
Phone: (318) 798-4464
Fax: (318) 798-4529
Mailing address
1455 E Bert Koun Loop
Shreveport, LA 71105-5634
Registry dates
- Enumerated
- 2009-06-19
- Last updated
- 2020-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.