Provider Demographics
NPI:1235433707
Name:NWANONYIRI, IKE CHIDI (MD)
Entity Type:Individual
Prefix:DR
First Name:IKE
Middle Name:CHIDI
Last Name:NWANONYIRI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4705 UNIVERSITY DR BLDG 700
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-3489
Mailing Address - Country:US
Mailing Address - Phone:919-237-1337
Mailing Address - Fax:919-237-1625
Practice Address - Street 1:855 SAM NEWELL RD STE 205
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-7664
Practice Address - Country:US
Practice Address - Phone:980-432-1027
Practice Address - Fax:980-432-1028
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-27
Last Update Date:2024-03-07
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Provider Licenses
StateLicense IDTaxonomies
NC2022-02229207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine