Individual
DR. CHINYERE WOGU DIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6104 OLD BRANCH AVENUE, TEMPLE HILLS, MD 20748-2518
(301) 702-6100
(301) 702-6366
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6 WEST, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
0101058730
VA
152WP0200X
Pediatric Optometrist
Primary
D45416
MD
152WP0200X
Pediatric Optometrist
MD7311
DC
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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