Individual
CHIEDOZIE I UDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, J5-624, CLEVELAND, OH 44195-0001
(216) 444-2781
Mailing address
9500 EUCLID AVE, J5-624, CLEVELAND, OH 44195-0001
(216) 444-2781
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.097102
OH
207L00000X
Anesthesiology Physician
35614
IA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
35.097102
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
35614
IA
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
35614
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440065
—
IA
01
—
36597
WELLMARK BCBS
IA
01
—
38278
WELLMARK BCBS
IA
Enumeration date
09/27/2005
Last updated
08/05/2023
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