Individual
DR. CHIDIEBUBE EGWIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
252 S 4TH ST, LEBANON, PA 17042-6111
(717) 270-4876
(717) 270-3875
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63160
TN
207R00000X
Internal Medicine Physician
MD488765
PA
207RN0300X
Nephrology Physician
63160
TN
207RN0300X
Nephrology Physician
MD488765
PA
208M00000X
Hospitalist Physician
Primary
MD488765
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2016
Last updated
01/06/2026
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