Provider Demographics
NPI:1720467624
Name:NGESINA, CHIZOBA (MD)
Entity type:Individual
Prefix:DR
First Name:CHIZOBA
Middle Name:
Last Name:NGESINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 GRISSOM FARM RD
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-7001
Mailing Address - Country:US
Mailing Address - Phone:919-561-8429
Mailing Address - Fax:
Practice Address - Street 1:TEAMHEALTH
Practice Address - Street 2:265 BROOKVIEW CENTRE WAY SUITE 400
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919
Practice Address - Country:US
Practice Address - Phone:856-686-4368
Practice Address - Fax:658-488-5368
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018016631207P00000X
390200000X
OH35.136844207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program