Provider Demographics
NPI:1710776430
Name:AGUGUO, JOHN CHIKA (MBBS)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:CHIKA
Last Name:AGUGUO
Suffix:
Gender:
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NORTH KNOXVILLE MEDICAL CENTER
Mailing Address - Street 2:7565 DANNAHER DRIVE
Mailing Address - City:POWELL KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37849
Mailing Address - Country:US
Mailing Address - Phone:865-279-1989
Mailing Address - Fax:865-859-1157
Practice Address - Street 1:NORTH KNOXVILLE MEDICAL CENTER
Practice Address - Street 2:7565 DANNAHER DRIVE
Practice Address - City:POWELL KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37849
Practice Address - Country:US
Practice Address - Phone:865-279-1989
Practice Address - Fax:865-859-1157
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program