Provider Demographics
NPI:1760420764
Name:ONYEWU, CHUKWUEMEKA (MD)
Entity Type:Individual
Prefix:DR
First Name:CHUKWUEMEKA
Middle Name:
Last Name:ONYEWU
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 1:17041 BARN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-1108
Mailing Address - Country:US
Mailing Address - Phone:301-570-8102
Mailing Address - Fax:
Practice Address - Street 1:8720 GEORGIA AVE
Practice Address - Street 2:SUITE 706
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3638
Practice Address - Country:US
Practice Address - Phone:301-589-2015
Practice Address - Fax:301-589-2007
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0050971208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC06370001OtherBLUE CROSS BLUE SHIELD
DC12206OtherDC CHARTERED
MD2206407OtherUNITED HEALTH CARE
MD2573303OtherAETNA
MD3127603OtherOPTIMUM CHOICE/MAMSI
MD59679OtherAMERIGROUP
MD64131801OtherMD BCBS
MD3127603OtherOPTIMUM CHOICE/MAMSI
DC06370001OtherBLUE CROSS BLUE SHIELD