Individual
DR. CHINEDUM IKEMEFUNA OLISEMEKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15215 SHADY GROVE RD, STE. 100, ROCKVILLE, MD 20850-3235
(301) 519-0902
(301) 519-0905
Mailing address
15215 SHADY GROVE RD, STE 100, ROCKVILLE, MD 20850-3235
(301) 519-0902
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0102202305
VA
207P00000X
Emergency Medicine Physician
Primary
H67639
MD
207P00000X
Emergency Medicine Physician
L7508
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048PJ
BCBS
TX
05
—
162906513
—
TX
05
—
162906516
—
TX
05
—
162906518
—
TX
01
—
8C0847
BCBS
TX
01
—
8J7014
BCBS
TX
Enumeration date
05/24/2006
Last updated
01/05/2020
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