Organization
CHIKWENDU C NWOSU MD LLC
Active
Other names
Stripes Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHIKWENDU NWOSU MD (OWNER)
(917) 474-0025
Entity
Organization
Contact information
Practice address
2919 S ELLSWORTH RD STE 139, MESA, AZ 85212-2168
(480) 984-5225
(480) 984-5447
Mailing address
2919 S ELLSWORTH RD, SUITE 139, MESA, AZ 85212-2164
(480) 984-5225
(480) 984-5447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307499
—
AZ
Enumeration date
04/06/2011
Last updated
01/26/2026
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