Healthcare Provider Details

I. General information

NPI: 1760420764
Provider Name (Legal Business Name): CHUKWUEMEKA ONYEWU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8720 GEORGIA AVE SUITE 706
SILVER SPRING MD
20910-3638
US

IV. Provider business mailing address

17041 BARN RIDGE DR
SILVER SPRING MD
20906-1108
US

V. Phone/Fax

Practice location:
  • Phone: 301-589-2015
  • Fax: 301-589-2007
Mailing address:
  • Phone: 301-570-8102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberD0050971
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: