Provider Demographics
NPI:1598760845
Name:NKADI, CHUKWUEMEKE O (MD)
Entity Type:Individual
Prefix:DR
First Name:CHUKWUEMEKE
Middle Name:O
Last Name:NKADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:EMEKE
Other - Middle Name:O
Other - Last Name:NKADI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:247 S BURNETT RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45505-2639
Mailing Address - Country:US
Mailing Address - Phone:937-505-9501
Mailing Address - Fax:937-390-7142
Practice Address - Street 1:247 S BURNETT RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45505-2639
Practice Address - Country:US
Practice Address - Phone:937-505-9501
Practice Address - Fax:937-390-7142
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-064160207RC0000X
TN43292208M00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1512793Medicaid
OH0911498Medicaid
TN1512793Medicaid
OH0911498Medicaid
OHNK4071321Medicare ID - Type Unspecified1416 W. FIRST ST.
OHF59765Medicare UPIN
TN30014681Medicare PIN