Provider Demographics
NPI:1336186832
Name:ONYEIJE, CHUKWUMA (MD)
Entity Type:Individual
Prefix:DR
First Name:CHUKWUMA
Middle Name:
Last Name:ONYEIJE
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 1:550 PEACHTREE STREET, NE
Mailing Address - Street 2:STE 1275
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:50307
Mailing Address - Country:US
Mailing Address - Phone:404-727-5121
Mailing Address - Fax:404-872-3119
Practice Address - Street 1:550 PEACHTREE STREET, NE
Practice Address - Street 2:STE 1275
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:50307
Practice Address - Country:US
Practice Address - Phone:404-727-5121
Practice Address - Fax:404-872-3119
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA053349207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA977212019EMedicaid
GA977212019FMedicaid
GA977212019OMedicaid
GA977212019JMedicaid
GA977212019HMedicaid
GA977212019NMedicaid
GA977212019BMedicaid
GA977212019DMedicaid
GA977212019UMedicaid
GA977212019NMedicaid