Provider Demographics
NPI:1467607671
Name:OLUIGBO, CHIMA OBIOMA (MD)
Entity Type:Individual
Prefix:
First Name:CHIMA
Middle Name:OBIOMA
Last Name:OLUIGBO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:110 MICHIGAN AVENUE NW
Mailing Address - Street 2:DEPT OF NEUROSURGERY, CHILDRENS NATIONAL MEDICAL CENTER
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010
Mailing Address - Country:US
Mailing Address - Phone:202-476-3531
Mailing Address - Fax:202-476-3091
Practice Address - Street 1:110 MICHIGAN AVENUE NW
Practice Address - Street 2:DEPT OF NEUROSURGERY, CHILDRENS NATIONAL MEDICAL CENTER
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010
Practice Address - Country:US
Practice Address - Phone:202-476-3531
Practice Address - Fax:202-476-3091
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2019-10-11
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Provider Licenses
StateLicense IDTaxonomies
OH35.096481207T00000X
DCMD041038207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHOL4310341Medicare PIN