Provider Demographics
NPI:1538373212
Name:IFEJIKA, NNEKA L (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:NNEKA
Middle Name:L
Last Name:IFEJIKA
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:NNEKA
Other - Middle Name:L
Other - Last Name:IFEJIKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD MPH
Mailing Address - Street 1:1514 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2429
Mailing Address - Country:US
Mailing Address - Phone:504-842-4000
Mailing Address - Fax:
Practice Address - Street 1:1401A JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70121-2426
Practice Address - Country:US
Practice Address - Phone:504-842-3314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6207208100000X, 2081P0301X
LA3070672081P0301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0301XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationBrain Injury Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX187780504OtherCSHCN
TX8AA301OtherBCBS
TX187780503Medicaid
TX187780504OtherCSHCN