Provider Demographics
NPI:1164681425
Name:CHIKE, ASSUMPTA OBIAGELI (PA)
Entity Type:Individual
Prefix:
First Name:ASSUMPTA
Middle Name:OBIAGELI
Last Name:CHIKE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:ASSUMPTA
Other - Middle Name:OBIAGELI
Other - Last Name:OMENICHEKWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9722 LUGUNA RD
Mailing Address - Street 2:UNION MEMORIAL HOSPITAL
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-3768
Mailing Address - Country:US
Mailing Address - Phone:575-650-3625
Mailing Address - Fax:
Practice Address - Street 1:201 E UNIVERSITY PKWY
Practice Address - Street 2:UNION MEMORIAL HOSPITAL
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2829
Practice Address - Country:US
Practice Address - Phone:410-554-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant