Provider Demographics
NPI:1013456276
Name:ASIEGBU, CHINONSO STEPHEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHINONSO
Middle Name:STEPHEN
Last Name:ASIEGBU
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 HEMISON CT
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3345
Mailing Address - Country:US
Mailing Address - Phone:443-540-8475
Mailing Address - Fax:
Practice Address - Street 1:108 HEMISON CT
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-3345
Practice Address - Country:US
Practice Address - Phone:443-540-8475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-20
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24783183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist