Basic Information
| Provider Information | |||||||||
| NPI: | 1750556098 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EKEOCHA | ||||||||
| FirstName: | CHIDIEBERE | ||||||||
| MiddleName: | UZOMA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D./MBA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4518 NECKER AVE | ||||||||
| Address2: | |||||||||
| City: | NOTTINGHAM | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212362762 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4104284891 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7601 OSLER DR | ||||||||
| Address2: | |||||||||
| City: | TOWSON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212047700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103371226 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/28/2008 | ||||||||
| LastUpdateDate: | 10/11/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/11/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | D0073799 | MD | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.