Provider Demographics
NPI:1295992063
Name:CHIDI, TEMITAYO OYEGBILE (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:TEMITAYO
Middle Name:OYEGBILE
Last Name:CHIDI
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:TEMITAYO
Other - Middle Name:OYEFUNMIKE
Other - Last Name:OYEGBILE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:4860 Y ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2307
Mailing Address - Country:US
Mailing Address - Phone:916-734-3588
Mailing Address - Fax:
Practice Address - Street 1:4860 Y ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2307
Practice Address - Country:US
Practice Address - Phone:916-703-5514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC1665902084N0402X, 2084S0012X
VA01012501492084S0012X, 2084N0402X, 2084N0402X
DCMD0401372084S0012X
MDD766782084S0012X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine