Provider Demographics
NPI:1245994441
Name:CHUKU, OROGBUO JUNIOR
Entity type:Individual
Prefix:
First Name:OROGBUO
Middle Name:JUNIOR
Last Name:CHUKU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7420 ROSSVILLE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3714
Mailing Address - Country:US
Mailing Address - Phone:443-469-2850
Mailing Address - Fax:
Practice Address - Street 1:7420 ROSSVILLE BLVD
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-3714
Practice Address - Country:US
Practice Address - Phone:443-469-2850
Practice Address - Fax:443-595-9706
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-25
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR226747363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health