Provider Demographics
NPI:1801890223
Name:NNAJI, FELIX CHUKWUDI (MD)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:CHUKWUDI
Last Name:NNAJI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:640 NUCKOLLS RD
Mailing Address - Street 2:
Mailing Address - City:BOLIVAR
Mailing Address - State:TN
Mailing Address - Zip Code:38008-1532
Mailing Address - Country:US
Mailing Address - Phone:731-659-2273
Mailing Address - Fax:731-659-2777
Practice Address - Street 1:640 NUCKOLLS RD
Practice Address - Street 2:
Practice Address - City:BOLIVAR
Practice Address - State:TN
Practice Address - Zip Code:38008-1532
Practice Address - Country:US
Practice Address - Phone:731-659-2273
Practice Address - Fax:731-659-2777
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN32096207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3847625Medicaid
TN3847625Medicaid
TN38476251Medicare PIN