Chisom Agbim

MD | Pediatric Emergency Medicine | Female

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Complete Profile:

Chisom Agbim basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Chisom Agbim
Credential :	MD
Gender :	Female

Business Address:

Chisom Agbim address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	13123 E 16th Ave Aurora, CO, 80045-7106 United States
Phone Number :	720-777-1234

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1740675529
NPI Entity Type :	Individual
First Enrolment Date :	30 Mar, 2015
Last Updated On :	19 Jul, 2021

Medicare Participation:

Chisom Agbim participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8325381460
Medicare Enrollment ID :	I20210728002975
Primary Specialty :	Emergency Medicine
Medical School :	University Of Colorado School Of Medicine, Denver
Graduation Year :	2015
Accepts Medicare?	Yes. Chisom Agbim accepts medicare insurance.

Group Practice Association:

Chisom Agbim is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Chisom Agbim is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Physicians Incorporated	3476465667	2518	13123 E 16th Ave Children's Hospital Colorado Aurora, CO - 800457106 Ph: 7207771234	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Chisom Agbim are as mentioned. Primary taxonomy code for Chisom Agbim, MD is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0204X	Pediatrics Pediatric Emergency Medicine	No	MD046104	DC
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	DR.0065890	CO

Other Practice Locations:

Practice Address	City, State	Phone Number
111 MICHIGAN AVE NW, WASHINGTON, DC, 20010-2916 United States	WASHINGTON, DC	202-476-4177
725 WELCH RD, PALO ALTO, CA, 94304-1601 United States	PALO ALTO, CA	650-497-8000

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 110429 Aurora, CO, 80042-0429 United States

Business Location:

Patients can refer following map for directions to Chisom Agbim practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.