Provider Demographics
NPI:1750358586
Name:AYIKA, CHI-CHI NWASINACHUKWU PHINA (MBBS)
Entity type:Individual
Prefix:
First Name:CHI-CHI
Middle Name:NWASINACHUKWU PHINA
Last Name:AYIKA
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:CHI CHI
Other - Middle Name:
Other - Last Name:AYIKA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8170 33RD AVE S # 21110Q
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:763-587-4800
Mailing Address - Fax:763-587-4885
Practice Address - Street 1:530 3RD ST NW
Practice Address - Street 2:MAIL STOP 39400A
Practice Address - City:ELK RIVER
Practice Address - State:MN
Practice Address - Zip Code:55330-1445
Practice Address - Country:US
Practice Address - Phone:763-712-6000
Practice Address - Fax:763-712-6591
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN46515207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN871459200Medicaid