Provider Demographics
NPI:1114160496
Name:OBIOHA, CHIBUIKE BRUNO (MB,BS)
Entity type:Individual
Prefix:DR
First Name:CHIBUIKE
Middle Name:BRUNO
Last Name:OBIOHA
Suffix:
Gender:
Credentials:MB,BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4834 SOCIALVILLE FOSTER RD STE 10
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-6805
Mailing Address - Country:US
Mailing Address - Phone:513-306-4910
Mailing Address - Fax:
Practice Address - Street 1:4834 SOCIALVILLE FOSTER RD STE 10
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-6805
Practice Address - Country:US
Practice Address - Phone:513-306-4910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-15
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.132134207P00000X, 208600000X, 208D00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice