Provider Demographics
NPI:1154217941
Name:ANYASO-MADU, CHIDINMA
Entity type:Individual
Prefix:
First Name:CHIDINMA
Middle Name:
Last Name:ANYASO-MADU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7515 RIVERDALE RD APT 1905
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3713
Mailing Address - Country:US
Mailing Address - Phone:024-879-0762
Mailing Address - Fax:
Practice Address - Street 1:7515 RIVERDALE RD APT 1905
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3713
Practice Address - Country:US
Practice Address - Phone:024-879-0762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide