Provider Demographics
NPI:1245467489
Name:MMEJE, CHINEDU O (MD)
Entity type:Individual
Prefix:DR
First Name:CHINEDU
Middle Name:O
Last Name:MMEJE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2940 E BANNER GATEWAY DRIVE
Mailing Address - Street 2:SUITE 450
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-2165
Mailing Address - Country:US
Mailing Address - Phone:480-256-6444
Mailing Address - Fax:480-256-4734
Practice Address - Street 1:2940 E BANNER GATEWAY DRIVE
Practice Address - Street 2:SUITE 450
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-2165
Practice Address - Country:US
Practice Address - Phone:480-256-6444
Practice Address - Fax:480-256-4734
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2025-10-28
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Provider Licenses
StateLicense IDTaxonomies
AZ43414208800000X
TXQ0674208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ561762Medicaid
TX346703701Medicaid
TX412826YKQHMedicare PIN
AZZ140781Medicare PIN