Provider Demographics
NPI:1770121915
Name:UCHE, CHIDERA
Entity type:Individual
Prefix:
First Name:CHIDERA
Middle Name:
Last Name:UCHE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 CHERRYWOOD TER APT 102
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-5201
Mailing Address - Country:US
Mailing Address - Phone:240-713-2368
Mailing Address - Fax:
Practice Address - Street 1:5900 CHERRYWOOD TER APT 102
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-5201
Practice Address - Country:US
Practice Address - Phone:240-713-2368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-18
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide