MEDICARE: DR. CHUKWUEMEKA ONYEDIKA M.D.

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	207U00000X	Nuclear Medicine Physician	272520	NY

General Provider Information

NPI Number	:	1396958310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHUKWUEMEKA ONYEDIKA M.D.

Provider Business Mailing Address
First Line	:	21 DOREEN DR
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10303-2136
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 DOREEN DR
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10303-2136
Country	:	US
Telephone Number	:	929-661-7383
Fax Number	:

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

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	11/23/2025

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