1164681425 NPI number — ASSUMPTA OBIAGELI CHIKE PA

Table of content: ASSUMPTA OBIAGELI CHIKE PA (NPI 1164681425)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164681425 NPI number — ASSUMPTA OBIAGELI CHIKE PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHIKE
Provider First Name:
ASSUMPTA
Provider Middle Name:
OBIAGELI
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
OMENICHEKWE
Provider Other First Name:
ASSUMPTA
Provider Other Middle Name:
OBIAGELI
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1164681425
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/01/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9722 LUGUNA RD
Provider Second Line Business Mailing Address:
UNION MEMORIAL HOSPITAL
Provider Business Mailing Address City Name:
MIDDLE RIVER
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21220-3768
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
575-650-3625
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 E UNIVERSITY PKWY
Provider Second Line Business Practice Location Address:
UNION MEMORIAL HOSPITAL
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21218-2829
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-554-2000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/03/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)