Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 0101259045 | VA |
N | 208600000X | Surgeon | 0101259045 | VA |
N | 208200000X | Surgeon | 2013-00727 | NC |
N | 208600000X | Surgeon | 2013-00727 | NC |
Y | 2086X0206X | Surgical Oncologist | 2013-00727 | NC |
NPI | 1376702811 |
---|---|
Provider Name | Dr. Chukwuemeka Obiora |
First Address | Atlanta, GA 31193-6857 |
Second Address | Wilmington, NC 28403-5345 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 26/05/2021 |