Healthcare Provider Details

I. General information

NPI: 1316687965
Provider Name (Legal Business Name): CHIMNO IHUOMA NNADI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 03/25/2024
Certification Date: 03/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 PARNASSUS AVENUE # 984-RTP
SAN FRANCISCO CA
94143
US

IV. Provider business mailing address

675 18TH ST # 3134
SAN FRANCISCO CA
94143-4200
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-7527
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA189943
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: