Provider Demographics
NPI:1578253399
Name:AGOR, DAVID CHINYEAKA (PMHNP)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CHINYEAKA
Last Name:AGOR
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WESTMINSTER DR
Mailing Address - Street 2:E53
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-1545
Mailing Address - Country:US
Mailing Address - Phone:202-471-0360
Mailing Address - Fax:
Practice Address - Street 1:200 WESTMINSTER DR
Practice Address - Street 2:E53
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-1545
Practice Address - Country:US
Practice Address - Phone:202-471-0360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2374972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty