Provider Demographics
NPI:1497045496
Name:ONYEASO, NDUCHE CHIKA (MD)
Entity Type:Individual
Prefix:DR
First Name:NDUCHE
Middle Name:CHIKA
Last Name:ONYEASO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1638 OWEN DR
Mailing Address - Street 2:ATTN: MANAGED CARE PLANNING
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-3424
Mailing Address - Country:US
Mailing Address - Phone:910-615-6949
Mailing Address - Fax:910-615-9761
Practice Address - Street 1:101 ROBESON ST
Practice Address - Street 2:SUITE 405
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-5552
Practice Address - Country:US
Practice Address - Phone:910-615-1623
Practice Address - Fax:910-321-6248
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2014-11-21
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Provider Licenses
StateLicense IDTaxonomies
NC2013-01479207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNCI801AMedicare PIN