Provider Demographics
NPI:1841399656
Name:CHIKWENDU, NNAEMEKA GUS (MD)
Entity type:Individual
Prefix:DR
First Name:NNAEMEKA
Middle Name:GUS
Last Name:CHIKWENDU
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:PO BOX 221408
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79913-4408
Mailing Address - Country:US
Mailing Address - Phone:915-307-7800
Mailing Address - Fax:915-351-4001
Practice Address - Street 1:7500 N MESA ST STE 210
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3515
Practice Address - Country:US
Practice Address - Phone:915-307-7800
Practice Address - Fax:915-351-4001
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS3140207RN0300X
NMMD20200175207RN0300X
PAMD431873207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA12945MD431873OtherHEALTH PARTNERS
PA2851190000OtherPERSONAL CHOICE
PA10192244305OtherAMERICHOICE
PA1562379OtherAETNA
PA17416OtherBRAVO ELDER HEALTH
PACA1374OtherRAILROAD MEDICARE
PAMD431873OtherUNITED HEALTHCARE
PA1019224430002Medicaid
TX1B2740Medicaid
PA6391445002OtherCIGNA
PA2851190000OtherKEYSTONE HEALTH PLAN EAST
PA1971130OtherHIGHMARK BC/BS
PA30043360OtherKEYSTONE MERCY
PA1019224430002Medicaid