Healthcare Provider Details

I. General information

NPI: 1144727132
Provider Name (Legal Business Name): CHINONSO CHIDI OPARA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2018
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 W 7TH AVE
SPOKANE WA
99204-2321
US

IV. Provider business mailing address

62 W 7TH AVE
SPOKANE WA
99204-2321
US

V. Phone/Fax

Practice location:
  • Phone: 844-552-2734
  • Fax:
Mailing address:
  • Phone: 844-552-2734
  • Fax: 206-744-4192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberMD.MD.61076561
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: