Provider Demographics
NPI:1376702811
Name:OBIORA, CHUKWUEMEKA (MD)
Entity type:Individual
Prefix:DR
First Name:CHUKWUEMEKA
Middle Name:
Last Name:OBIORA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:EMEKA
Other - Middle Name:
Other - Last Name:OBIORA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:300 E MCBEE AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2899
Mailing Address - Country:US
Mailing Address - Phone:864-522-8611
Mailing Address - Fax:
Practice Address - Street 1:2 MEDICAL PARK RD STE 300
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-6839
Practice Address - Country:US
Practice Address - Phone:803-434-8800
Practice Address - Fax:803-929-0492
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC940412086X0206X
NC2013-00727208600000X
VA0101259045208600000X
GA917652086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA91765OtherSTATE LICENSE