Provider Demographics
NPI:1235628413
Name:EZE, CHIOMA ELIZABETH (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:CHIOMA
Middle Name:ELIZABETH
Last Name:EZE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:CHIOMA
Other - Middle Name:ELIZABETH
Other - Last Name:SHIWEOBI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2350 MIAMI VALLEY DR STE 530
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4782
Mailing Address - Country:US
Mailing Address - Phone:937-435-3546
Mailing Address - Fax:937-435-3568
Practice Address - Street 1:2261 PHILADELPHIA DR STE 300
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45406-1814
Practice Address - Country:US
Practice Address - Phone:937-734-4141
Practice Address - Fax:937-277-7249
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-03
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.143181207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine