Provider Demographics
NPI:1265443568
Name:NJOKU, CHARLES CHIEDO (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:CHIEDO
Last Name:NJOKU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5359
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44334-0359
Mailing Address - Country:US
Mailing Address - Phone:330-848-2001
Mailing Address - Fax:330-848-2010
Practice Address - Street 1:2569 ROMIG RD
Practice Address - Street 2:SUITE 101
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-3878
Practice Address - Country:US
Practice Address - Phone:330-848-2001
Practice Address - Fax:330-848-2010
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35048587N208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0568158Medicaid
OHA15954Medicare UPIN
OHNJ0561816Medicare ID - Type Unspecified