E Squared Pathology PLLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

N6285 Issued in TX

Legal business name

E SQUARED PATHOLOGY PLLC

Practice address

1001 Buckingham Rd Ste 200
Richardson, TX 75081-5800

Phone

(646) 594-6792

NPI assigned

May 15, 2018

Last updated

May 15, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chukwuemeka Etufugh, MDNPI 1063622850

Title

Owner

Phone

(646) 594-6792

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chukwuemeka Nwankire Etufugh, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Richardson, TX
  • NPI 1063622850
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1417447483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BUCKINGHAM RD STE 200",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815800",
            "telephone_number": "646-594-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BUCKINGHAM RD STE 200",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815800",
            "telephone_number": "646-594-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E SQUARED PATHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "ETUFUGH",
        "authorized_official_first_name": "CHUKWUEMEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-594-6792",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "N6285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anatomic Pathology & Clinical Pathology Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.