Individual
CHINANU CHIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E CHESTNUT ST UNIT 370, LOUISVILLE, KY 40202-5703
(502) 562-6510
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 562-6510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R7236
KY
207R00000X
Internal Medicine Physician
Primary
TP975
KY
390200000X
Student in an Organized Health Care Education/Training Program
R7236
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101003330
—
KY
Enumeration date
04/11/2023
Last updated
05/05/2026
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