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Individual

DR. CHINEDU CHARLES UKEMENAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
33 W RAHN RD, DAYTON, OH 45429-2219
(937) 433-8990
(937) 433-8691
Mailing address
33 W RAHN RD, DAYTON, OH 45429-2219
(937) 433-8990
(937) 433-8691

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.138685
OH
390200000X
Student in an Organized Health Care Education/Training Program
2017012397
MO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0404899
OH
Enumeration date
05/23/2017
Last updated
11/17/2025
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