Individual
CHINENYE OGECHUKWU EZEDIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 GRESHAM DR FL 5, NORFOLK, VA 23507-1904
(757) 388-3198
(757) 388-4242
Mailing address
600 GRESHAM DR FL 5, NORFOLK, VA 23507-1904
(757) 388-3198
(757) 388-4242
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101267688
VA
207Q00000X
Family Medicine Physician
ME111918
FL
208M00000X
Hospitalist Physician
0101267688
VA
Other
Enumeration date
06/16/2008
Last updated
07/18/2024
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