Healthcare Provider Details

I. General information

NPI: 1295642270
Provider Name (Legal Business Name): CHUKS ANYAMELUHOR M.B.B.S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19911 FAIRMONT CT
HAGERSTOWN MD
21742-6717
US

IV. Provider business mailing address

19911 FAIRMONT CT ROSEWOOD VILLAGE
HAGERSTOWN MD
21742-6717
US

V. Phone/Fax

Practice location:
  • Phone: 240-750-7566
  • Fax:
Mailing address:
  • Phone: 240-750-7566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: