Provider Demographics
NPI:1639476633
Name:CHIJIDE, VALDA (MD)
Entity Type:Individual
Prefix:DR
First Name:VALDA
Middle Name:
Last Name:CHIJIDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3205 LINDEN PL
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-8462
Mailing Address - Country:CA
Mailing Address - Phone:330-423-3907
Mailing Address - Fax:614-755-6379
Practice Address - Street 1:6451 N FEDERAL HWY
Practice Address - Street 2:SUITE 800
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-1402
Practice Address - Country:US
Practice Address - Phone:954-837-2435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-28
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.094602207RI0200X
GA32518207RI0200X
NV13390207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease