Provider Demographics
NPI:1134232572
Name:ANUCHA, CHIBUIKE (MD)
Entity type:Individual
Prefix:
First Name:CHIBUIKE
Middle Name:
Last Name:ANUCHA
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:PO BOX 10154
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93389-0154
Mailing Address - Country:US
Mailing Address - Phone:661-637-1006
Mailing Address - Fax:661-637-1020
Practice Address - Street 1:608 34TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2208
Practice Address - Country:US
Practice Address - Phone:661-845-3731
Practice Address - Fax:661-845-1157
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89094207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I23221Medicare UPIN
CA00A890940Medicare ID - Type Unspecified