Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chuka Victor Ifeanyi, MD

Individual provider Otolaryngology Physician · NPI 1649407487

Chuka Victor Ifeanyi, MD is an Otolaryngology in Shreveport, Louisiana. Qualified in 2009, 17 years ago. Practices with Highland Clinic, a Prof Med Corp, a 60-clinician group and accepts Medicare assignment. Licensed in Iowa and Louisiana.

Years since qualifying
17
Licensed in
IA, LA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1455 E Bert Koun Loop #206
Shreveport, LA 71105-5634
Phone: (318) 798-4464
Fax: (318) 798-4529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 206975 (LA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence R-8725 (IA)

Record details

NPI number1649407487
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2009
Last updated in NPPESDecember 11, 2020
Certification dateDecember 11, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Highland Clinic, A Prof Med Corp — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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