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NPI Code Detail

MEDICARE: CHIMELIE UKWANDU

MEDICARE:   CHIMELIE  UKWANDU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1104774751
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHIMELIE UKWANDU
Provider Business Mailing Address
First Line : 6701 GLENHURST DR
Second Line :
City : GLENN DALE
State : MD
Zip : 20769-9476
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1647 BENNING RD NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20002-4569
Country : US
Telephone Number : 202-621-8713
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “ CHIMELIE UKWANDU ” Practice Location

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