MEDICARE: DR. NNEKA CHIKODILI ORAEDU 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	174400000X	Specialist	25MA08164500	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841361268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NNEKA CHIKODILI ORAEDU M.D

Provider Business Mailing Address
First Line	:	211 IRVINGTON AVE
Second Line	:
City	:	SOUTH ORANGE
State	:	NJ
Zip	:	07079-2208
Country	:	US
Telephone Number	:	973-761-1067
Fax Number	:	973-761-1069

Provider Business Practice Location Address
First Line	:	211 IRVINGTON AVE
Second Line	:
City	:	SOUTH ORANGE
State	:	NJ
Zip	:	07079-2208
Country	:	US
Telephone Number	:	973-761-1067
Fax Number	:	973-761-1069

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

Provider Enumeration Date	:	11/10/2006
Last Update Date	:	12/30/2011

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