Provider Demographics
NPI:1588348502
Name:CHIKWERE, OBIANUJU M (CRNA)
Entity type:Individual
Prefix:MRS
First Name:OBIANUJU
Middle Name:M
Last Name:CHIKWERE
Suffix:
Gender:
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2126 SHANDON RD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-1720
Mailing Address - Country:US
Mailing Address - Phone:443-846-1055
Mailing Address - Fax:
Practice Address - Street 1:2126 SHANDON RD
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-1720
Practice Address - Country:US
Practice Address - Phone:443-846-1055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR225688367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered