Healthcare Provider Details

I. General information

NPI: 1497021455
Provider Name (Legal Business Name): CHINWE I NWOSU-BLAIR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHINWE I NWOSU MD

II. Dates (important events)

Enumeration Date: 03/23/2012
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S GREENE ST
BALTIMORE MD
21201-1544
US

IV. Provider business mailing address

3000 ARLINGTON AVE STOP 1108
TOLEDO OH
43614-2595
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-8667
  • Fax:
Mailing address:
  • Phone: 419-383-5322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number132215
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35.151650
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: