Provider Demographics
NPI:1992268783
Name:ABANA, CHIKE O (MD, PHD)
Entity type:Individual
Prefix:
First Name:CHIKE
Middle Name:O
Last Name:ABANA
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Gender:M
Credentials:MD, PHD
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6350 CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-4107
Mailing Address - Country:US
Mailing Address - Phone:757-213-5700
Mailing Address - Fax:757-213-5701
Practice Address - Street 1:6251 E VIRGINIA BEACH BLVD STE 115
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-2800
Practice Address - Country:US
Practice Address - Phone:757-213-5770
Practice Address - Fax:757-213-5788
Is Sole Proprietor?:No
Enumeration Date:2019-04-09
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01012812752085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology