Provider Demographics
NPI:1982967485
Name:MAHALEY, CHINWE OBIAGA (MD)
Entity Type:Individual
Prefix:
First Name:CHINWE
Middle Name:OBIAGA
Last Name:MAHALEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2401 W BELVEDERE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5216
Mailing Address - Country:US
Mailing Address - Phone:410-601-9300
Mailing Address - Fax:410-601-9499
Practice Address - Street 1:2411 W BELVEDERE AVE STE 402
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5231
Practice Address - Country:US
Practice Address - Phone:410-601-9300
Practice Address - Fax:410-601-9499
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0080033208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics