MEDICARE: DR. CHIMA A OSUOHA MD

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
1	207R00000X	Internal Medicine Physician	13184	NV

General Provider Information

NPI Number	:	1154445476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHIMA A OSUOHA MD

Provider Business Mailing Address
First Line	:	3599 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3344
Country	:	US
Telephone Number	:	702-522-0701
Fax Number	:	702-522-1653

Provider Business Practice Location Address
First Line	:	3599 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3344
Country	:	US
Telephone Number	:	702-522-0701
Fax Number	:	702-522-1653

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	01/27/2021

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