Provider Demographics
NPI:1568501989
Name:ANAKWE, ONYEAMA O (DO, PHD)
Entity Type:Individual
Prefix:DR
First Name:ONYEAMA
Middle Name:O
Last Name:ANAKWE
Suffix:
Gender:M
Credentials:DO, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 CHEW AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19138-1727
Mailing Address - Country:US
Mailing Address - Phone:215-844-3500
Mailing Address - Fax:215-355-3555
Practice Address - Street 1:5801 CHEW AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19138-1727
Practice Address - Country:US
Practice Address - Phone:215-844-3500
Practice Address - Fax:215-355-3555
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS011936207Q00000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH62052Medicare UPIN