Provider Demographics
NPI:1568784163
Name:IKEAKO, CHINYELU ADAOBI, NGOZI, (MD)
Entity Type:Individual
Prefix:
First Name:CHINYELU
Middle Name:ADAOBI, NGOZI,
Last Name:IKEAKO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHINYELU
Other - Middle Name:CHIELOKA
Other - Last Name:IKEAKO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1918 1ST AVE
Mailing Address - Street 2:6 WEST 9
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-7405
Mailing Address - Country:US
Mailing Address - Phone:303-642-5144
Mailing Address - Fax:
Practice Address - Street 1:1918 1ST AVE
Practice Address - Street 2:6 WEST 9
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-7405
Practice Address - Country:US
Practice Address - Phone:303-642-5144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist