Healthcare Provider Details

I. General information

NPI: 1396862900
Provider Name (Legal Business Name): OKWUDILI FRANCIS CHUKWUANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2146 SOUTHGATE PKWY
CAMBRIDGE OH
43725-3096
US

IV. Provider business mailing address

1201 GRAMPIAN BLVD PO BOX 3127
WILLIAMSPORT PA
17701-0127
US

V. Phone/Fax

Practice location:
  • Phone: 800-358-8262
  • Fax: 740-435-0713
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number01062713A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberMD433671
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35094720
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number01062713A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: