Chukwuemeka Obidi

MD | Pediatrics | Male

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Complete Profile:

Chukwuemeka Obidi basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Chukwuemeka Obidi
Credential :	MD
Gender :	Male
Sole Proprietor :	Yes

Business Address:

Chukwuemeka Obidi 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 :	303 Memorial Blvd W Hagerstown, MD, 21740 United States
Phone Number :	301-791-7060
Fax Number :	301-791-8990

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 :	1083796452
NPI Entity Type :	Individual
First Enrolment Date :	19 Oct, 2006
Last Updated On :	02 Mar, 2017

Medicare Participation:

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

Medicare PECOS ID :	8628036290
Medicare Enrollment ID :	I20111227000745
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	1996
Accepts Medicare?	Yes. Chukwuemeka Obidi accepts medicare insurance.

Group Practice Association:

Chukwuemeka Obidi 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 Chukwuemeka Obidi is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Dej Med Practice Llc	7810271004	5	303 Memorial Blvd W Hagerstown, MD - 217406219 Ph: 3017917060	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 Chukwuemeka Obidi are as mentioned. Primary taxonomy code for Chukwuemeka Obidi, MD is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	Yes	D0063702	MD

Legacy Identifiers:

Other legacy medical identifiers of Chukwuemeka Obidi such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
410471400	MEDICAID	MD

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 :	303 Memorial Blvd W Hagerstown, MD, 21740 United States
Phone Number :	301-791-7060
Fax Number :	301-791-8990

Business Location:

Patients can refer following map for directions to Chukwuemeka Obidi practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.