Provider Demographics
NPI:1689198350
Name:OJIMBA, CHIEDOZIE OBINNA (MD)
Entity Type:Individual
Prefix:DR
First Name:CHIEDOZIE
Middle Name:OBINNA
Last Name:OJIMBA
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 1:10632 LITTLE PATUXENT PKWY STE 249
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-6206
Mailing Address - Country:US
Mailing Address - Phone:410-772-0774
Mailing Address - Fax:410-772-0776
Practice Address - Street 1:10632 LITTLE PATUXENT PKWY STE 249
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-6206
Practice Address - Country:US
Practice Address - Phone:410-772-0774
Practice Address - Fax:410-772-0776
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-03
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD2100019762084P0800X
NY3054972084P0800X
MDD00933572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry