Provider Demographics
NPI:1972898385
Name:CHUKWUEMEKA ONYEWU MD PC
Entity type:Organization
Organization Name:CHUKWUEMEKA ONYEWU MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHUKWUEMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYEWU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-589-2015
Mailing Address - Street 1:8714 GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3601
Mailing Address - Country:US
Mailing Address - Phone:301-589-2015
Mailing Address - Fax:301-589-2007
Practice Address - Street 1:8714 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3601
Practice Address - Country:US
Practice Address - Phone:301-589-2015
Practice Address - Fax:301-589-2007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD21059208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD10239484OtherAMERIGROUP
MD3127603OtherMAMSI/OPTIMUM CHOICE
DC027436600Medicaid
DC06370001OtherCAREFIRST BLUE CROSS BLUE SHIELD
DC12206OtherDC CHARTERED HEALTH
MDP00006594OtherMEDICARE RAILROAD
MD2573303OtherAETNA
MD118302801Medicaid
MD1300634OtherUNITED HEALTH CARE/MEDICAID
MD2206407OtherUNITED HEALTH CARE
MD64131802OtherCAREFIRST BLUE CHOICE
MD118302801Medicaid
DC06370001OtherCAREFIRST BLUE CROSS BLUE SHIELD