Provider Demographics
NPI:1194732289
Name:ANYAOGU, CHINYERE NKEMEJINA (MD)
Entity type:Individual
Prefix:
First Name:CHINYERE
Middle Name:NKEMEJINA
Last Name:ANYAOGU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10235 HICKORYWOOD HILL AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-3307
Mailing Address - Country:US
Mailing Address - Phone:704-948-9554
Mailing Address - Fax:704-875-0535
Practice Address - Street 1:1400 PELHAM PKWY S
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1138
Practice Address - Country:US
Practice Address - Phone:718-918-3060
Practice Address - Fax:718-918-4469
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200200854207R00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2004695BOtherMEDICARE LEGACY NUMBER
NC891315KMedicaid
NC1316KOtherBLUE CROSS AND BLUE SHIEL
SCN0085DMedicaid
NCP00182941OtherRAILROAD MEDICARE
NC1316KOtherBLUE CROSS AND BLUE SHIEL