Individual
DR. CHIDI NWIZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 706-4613
(410) 706-4619
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 706-4613
(410) 706-4619
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D67095
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
942640-01
BLUE SHIELD - MD
MD
01
—
9606-0053
CAREFIRST BC/BS
MD
01
—
S062-0341
BLUE CHOICE - REGIONAL
MD
Enumeration date
03/15/2006
Last updated
11/16/2012
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