Provider Demographics
NPI:1285423996
Name:EMEKEKWUE, CHIMDALU OKEZIE (MD)
Entity type:Individual
Prefix:
First Name:CHIMDALU
Middle Name:OKEZIE
Last Name:EMEKEKWUE
Suffix:
Gender:
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:MERCY HOSPITAL 7301 ROGERS AVENUE
Mailing Address - Street 2:ATTN GME DEPARTMENT
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903
Mailing Address - Country:US
Mailing Address - Phone:479-314-6000
Mailing Address - Fax:479-314-4705
Practice Address - Street 1:MERCY HOSPITAL 7301 ROGERS AVENUE
Practice Address - Street 2:ATTN GME DEPARTMENT
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903
Practice Address - Country:US
Practice Address - Phone:479-314-6000
Practice Address - Fax:479-314-4705
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program