Individual
CHUKWUKANENE OFIAELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4425 MEMORIAL DR, DECATUR, GA 30032-1337
(786) 494-3744
Mailing address
14021 LAKE MEADOWS DR, BOWIE, MD 20720-3816
(781) 502-2503
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
022963
PR
Other
Enumeration date
08/19/2022
Last updated
08/14/2024
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