Provider Demographics
NPI:1194404715
Name:AKUDIKE, CHIEMEKA
Entity type:Individual
Prefix:
First Name:CHIEMEKA
Middle Name:
Last Name:AKUDIKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 ADEE AVENUE
Mailing Address - Street 2:ROOM 205A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-5231
Mailing Address - Country:US
Mailing Address - Phone:929-468-6486
Mailing Address - Fax:
Practice Address - Street 1:900 ADEE AVENUE
Practice Address - Street 2:SUITE 205A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-5231
Practice Address - Country:US
Practice Address - Phone:718-882-8865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY731545-01163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice