Healthcare Provider Details

I. General information

NPI: 1831549740
Provider Name (Legal Business Name): CHINELO CHRISTINE OKIGBO PHD, MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2016
Last Update Date: 10/04/2023
Certification Date: 04/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 W. BRAMBLETON AVE SUITE 1
NORFOLK VA
23510-1005
US

IV. Provider business mailing address

PO BOX 936
NORFOLK VA
23501-0936
US

V. Phone/Fax

Practice location:
  • Phone: 757-446-5908
  • Fax: 757-625-0466
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number0101270995
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number248229
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: