Provider Demographics
NPI:1770987927
Name:OBIAKA, CHIGOZIE U (MD)
Entity type:Individual
Prefix:
First Name:CHIGOZIE
Middle Name:U
Last Name:OBIAKA
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 1:3550 GRANDVIEW PKWY APT 327
Mailing Address - Street 2:CAHABA HEIGHTS
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-1970
Mailing Address - Country:US
Mailing Address - Phone:404-630-7309
Mailing Address - Fax:
Practice Address - Street 1:3550 GRANDVIEW PKWY APT 327
Practice Address - Street 2:CAHABA HEIGHTS
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-1970
Practice Address - Country:US
Practice Address - Phone:404-630-7309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD35320207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine