Healthcare Provider Details

I. General information

NPI: 1972898385
Provider Name (Legal Business Name): CHUKWUEMEKA ONYEWU MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2011
Last Update Date: 06/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8714 GEORGIA AVE
SILVER SPRING MD
20910-3601
US

IV. Provider business mailing address

8714 GEORGIA AVE
SILVER SPRING MD
20910-3601
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberMD21059
License Number StateDC

VIII. Authorized Official

Name: DR. CHUKWUEMEKA ONYEWU
Title or Position: CEO/PHYSICIAN
Credential: M.D.
Phone: 301-589-2015