Individual
CHIKA C OBELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
(901) 685-2969
Mailing address
7714 POPLAR AVE STE 200, GERMANTOWN, TN 38138-3941
(901) 683-0055
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
28183
MS
2085R0202X
Diagnostic Radiology Physician
62302
TN
2085R0204X
Vascular & Interventional Radiology Physician
28183
MS
2085R0204X
Vascular & Interventional Radiology Physician
Primary
62302
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257809001
—
AR
05
—
PENDING
—
MS
05
—
Q062205
—
TN
Enumeration date
03/28/2011
Last updated
01/07/2021
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