Provider Demographics
NPI:1255387353
Name:CHIKES, PETER GEORGE (MD)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:GEORGE
Last Name:CHIKES
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 1:170 MANNING DR
Mailing Address - Street 2:PHYSICIANS OFFICE BUILDING, CB 7070
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7070
Mailing Address - Country:US
Mailing Address - Phone:919-966-3342
Mailing Address - Fax:
Practice Address - Street 1:170 MANNING DR
Practice Address - Street 2:PHYSICIANS OFFICE BUILDING, CB 7070
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7070
Practice Address - Country:US
Practice Address - Phone:919-966-3342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17939207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC22336OtherBCBSNC
NCP00909942OtherRAILROAD MEDICARE
SCQ17939Medicaid
NC4258695OtherAETNA
NC6609370OtherAETNA HMO
NC8922336Medicaid
NC6609370OtherAETNA HMO
NC22336OtherBCBSNC