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Contact Information

OBINNA N ERUCHALU, MD
907 FITZGERALD ST
MONROE, NC28112-5680
 Phone: 704-226-0531
 Fax: 704-292-7880
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Diagnostic Ultrasound

2085U0001X
 

Specialist

174400000X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for OBINNA N ERUCHALU · (Male)

NPI Number 1194788042
Status Active
Credentials MD
Entity Individual
Enumeration date 04/11/2006
Last updated 08/22/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 00-38331
  • NC License # 38331
  • NC Medicaid 8930776
  • NC Other 1036L BLUE CROSS/BLUE SHIELD
  • NC Other 10039 PARTNERS MEDICARE
Hospital affiliation(s)
  • CAROLINAS MEDICAL CENTER-UNION - (Acute Care)
    600 HOSPITAL DR
    MONROE, NC 28110
  • PRESBYTERIAN HOSPITAL - (Acute Care)
    200 HAWTHORNE LANE BOX 33549
    CHARLOTTE, NC 28233
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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