Provider Demographics
NPI:1013065267
Name:ONWUKA, CHIKE GREGORY (MD)
Entity Type:Individual
Prefix:DR
First Name:CHIKE
Middle Name:GREGORY
Last Name:ONWUKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9135 PISCATAWAY ROAD
Mailing Address - Street 2:SUITE 420
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735
Mailing Address - Country:US
Mailing Address - Phone:301-868-2555
Mailing Address - Fax:301-868-2933
Practice Address - Street 1:9135 PISCATAWAY ROAD
Practice Address - Street 2:SUITE 420
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735
Practice Address - Country:US
Practice Address - Phone:301-868-2555
Practice Address - Fax:301-868-2933
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0064986207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCP00856604OtherRAILROAD MEDICARE
MD7600Medicaid
DCP00856604OtherRAILROAD MEDICARE
DC132997YT2Medicare PIN