Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 0101250149 | VA |
N | 2084N0402X | Child Neurologist | C166590 | CA |
N | 2084N0402X | Child Neurologist | D76678 | MD |
N | 2084N0402X | Child Neurologist | MD040137 | DC |
NPI | 1295992063 |
---|---|
Provider Name | Dr. Temitayo Oyegbile Chidi |
First Address | Sacramento, CA 95817-2307 |
Second Address | Sacramento, CA 95817-2307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 09/11/2020 |