Provider Demographics
NPI:1598949687
Name:CHIGBU, ROWLAND ONYEDIKACHI (MD)
Entity Type:Individual
Prefix:DR
First Name:ROWLAND
Middle Name:ONYEDIKACHI
Last Name:CHIGBU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 N. WESTOVER BLVD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707
Mailing Address - Country:US
Mailing Address - Phone:229-405-6249
Mailing Address - Fax:229-323-4373
Practice Address - Street 1:2202 E. OGLETHORPE BLVD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31705
Practice Address - Country:US
Practice Address - Phone:229-431-1423
Practice Address - Fax:229-438-0738
Is Sole Proprietor?:No
Enumeration Date:2007-12-25
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002864207R00000X
PAMD460014207R00000X
GA063642207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103251929Medicaid
PA568752Medicare PIN