Individual
CHUKWUDI OBIORA CHIAGHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1229 E SEMINOLE ST STE 320, SPRINGFIELD, MO 65804
(417) 820-2064
Mailing address
1229 E SEMINOLE ST STE 320, SPRINGFIELD, MO 65804-2227
(417) 820-2064
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2017008013
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417214529
—
MO
05
—
200714990A
—
OK
05
—
221141001
—
AR
01
—
P01864065
RAIL ROAD MEDICARE
MO
Enumeration date
04/13/2012
Last updated
10/31/2019
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