MEDICARE: CHIKA OGUAGHA 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	140700	NY

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	:	1932215357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHIKA OGUAGHA M.D.

Provider Business Mailing Address
First Line	:	184 STERLING PL
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11217-3307
Country	:	US
Telephone Number	:	718-783-6860
Fax Number	:	718-783-6861

Provider Business Practice Location Address
First Line	:	342 FLATBUSH AVE
Second Line	:	NEPHROLOGY FOUNDATION OF BROOKLYN
City	:	BROOKLYN
State	:	NY
Zip	:	11238-4902
Country	:	US
Telephone Number	:	718-857-3000
Fax Number	:	718-857-6210

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

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	07/08/2007

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