Provider Demographics
NPI:1467298398
Name:ANUEBUNWA, CHINONSO (MD)
Entity type:Individual
Prefix:DR
First Name:CHINONSO
Middle Name:
Last Name:ANUEBUNWA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 PARK AVE W UNIT 807
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-3560
Mailing Address - Country:US
Mailing Address - Phone:317-699-0827
Mailing Address - Fax:
Practice Address - Street 1:600 PARK AVE W UNIT 807
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-3560
Practice Address - Country:US
Practice Address - Phone:317-699-0827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171W00000XOther Service ProvidersContractor