Healthcare Provider Details

I. General information

NPI: 1265443568
Provider Name (Legal Business Name): CHARLES CHIEDO NJOKU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2569 ROMIG RD SUITE 101
AKRON OH
44320-3878
US

IV. Provider business mailing address

PO BOX 5359
AKRON OH
44334-0359
US

V. Phone/Fax

Practice location:
  • Phone: 330-848-2001
  • Fax: 330-848-2010
Mailing address:
  • Phone: 330-848-2001
  • Fax: 330-848-2010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35048587N
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: