MEDICARE: DR. CHUKWUMA OBI ONYEWU MD

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
1	208VP0014X	Interventional Pain Medicine Physician	C1-0007073	DE
2	208VP0014X	Interventional Pain Medicine Physician	D0065933	MD
3	208VP0014X	Interventional Pain Medicine Physician	MD034554	DC
4	208VP0014X	Interventional Pain Medicine Physician	0101235566	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MDCI2358	OTHER	MD	RAILROAD MEDICARE
3	DECF8249	OTHER	DE	RAILROAD MEDICARE
4	892LI499	OTHER	MD	MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1578573457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHUKWUMA OBI ONYEWU MD

Provider Business Mailing Address
First Line	:	9841 GREENBELT RD STE 208
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-6270
Country	:	US
Telephone Number	:	240-786-1001
Fax Number	:	240-786-1002

Provider Business Practice Location Address
First Line	:	9841 GREENBELT RD STE 208
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-6270
Country	:	US
Telephone Number	:	240-786-1001
Fax Number	:	240-786-1002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	01/24/2015

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