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NPI Code Detail

MEDICARE: OBASI A CHUKWUNENYE M.D.

MEDICARE: OBASI A CHUKWUNENYE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician25MA06014500NJ
2207R00000XInternal Medicine PhysicianMD043600LPA
3208M00000XHospitalist PhysicianMD043600LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205834603
Entity Type Code : Individual
Provider Name (Legal Business Name) : OBASI A CHUKWUNENYE M.D.
Provider Business Mailing Address
First Line : 785 5TH AVE
Second Line : SUITE 3
City : CHAMBERSBURG
State : PA
Zip : 17201-4232
Country : US
Telephone Number : 717-263-9555
Fax Number : 717-217-4218
Provider Business Practice Location Address
First Line : 112 N 7TH ST
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17201-1720
Country : US
Telephone Number : 717-217-4300
Fax Number : 717-217-4217
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 02/05/2020

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