Healthcare Provider Details

I. General information

NPI: 1114213782
Provider Name (Legal Business Name): CHINYERE IFEOMA OARHE M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2011
Last Update Date: 06/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 E MICHIGAN AVE
LANSING MI
48912-1811
US

IV. Provider business mailing address

2322 KNOB HILL DR UNIT 05-18
OKEMOS MI
48864-3527
US

V. Phone/Fax

Practice location:
  • Phone: 347-331-8837
  • Fax:
Mailing address:
  • Phone: 347-331-8837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301098758
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: