MEDICARE: JOANNA CHINEME ABARAOHA 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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1487396537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNA CHINEME ABARAOHA MD

Provider Business Mailing Address
First Line	:	WUSM PEDS 1 CHILDREN'S PLACE MSC 8116-0043-09
Second Line	:
City	:	ST LOUIS
State	:	MO
Zip	:	63110
Country	:	US
Telephone Number	:	585-273-1044
Fax Number	:	585-442-6580

Provider Business Practice Location Address
First Line	:	WUSM PEDS 1 CHILDREN'S PLACE MSC 8116-0043-09
Second Line	:
City	:	ST LOUIS
State	:	MO
Zip	:	63110
Country	:	US
Telephone Number	:	585-273-1044
Fax Number	:	585-442-6580

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

Provider Enumeration Date	:	04/10/2022
Last Update Date	:	02/20/2026

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