Provider Demographics
NPI:1750645966
Name:CHINEDU, SHEILA CHIAZO
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:CHIAZO
Last Name:CHINEDU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10112 SUTHERLAND RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-2419
Mailing Address - Country:US
Mailing Address - Phone:240-715-7359
Mailing Address - Fax:
Practice Address - Street 1:10112 SUTHERLAND RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-2419
Practice Address - Country:US
Practice Address - Phone:240-715-7359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC530735115639374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide