Provider Demographics
NPI:1316984750
Name:ONONUJU, CHIDOZIE JOSHUA (DO)
Entity type:Individual
Prefix:
First Name:CHIDOZIE
Middle Name:JOSHUA
Last Name:ONONUJU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1320 N MICHIGAN AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-4751
Mailing Address - Country:US
Mailing Address - Phone:989-752-0706
Mailing Address - Fax:989-752-0709
Practice Address - Street 1:1320 N MICHIGAN AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-4751
Practice Address - Country:US
Practice Address - Phone:989-752-0706
Practice Address - Fax:989-752-0709
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2014-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101013295207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI141993OtherGREAT LAKES HEALTH PLAN
MI47436OtherHEALTH PLAN OF MICHIGAN
MI5207776Medicaid
MI383394798OtherCOMMERCIAL
MI0857310765OtherBLUE CROSS BLUE SHIELD
MI4998596Medicaid
MI700G312590OtherBCBS
MI0985479OtherSAGINAW HEALTH PLAN
MI4315794OtherMOLINA HEALTHCARE
MI5207794Medicaid
MI080G312570OtherBLUE CROSS BLUE SHIELD
MI1005688OtherMCLAREN HEALTH CARE
MI080G312550OtherBCBS
MI4513078Medicaid
MI4513078Medicaid
MIP40910001Medicare PIN
MIH02738Medicare UPIN
MI5207776Medicaid