Provider Demographics
NPI:1316905227
Name:NWACHINEMERE, CHIENYENWA E (MD)
Entity type:Individual
Prefix:DR
First Name:CHIENYENWA
Middle Name:E
Last Name:NWACHINEMERE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:
Mailing Address - City:WHITE MARSH
Mailing Address - State:MD
Mailing Address - Zip Code:21162-0368
Mailing Address - Country:US
Mailing Address - Phone:410-686-3931
Mailing Address - Fax:410-686-3932
Practice Address - Street 1:1232 RACE RD STE 401
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-2386
Practice Address - Country:US
Practice Address - Phone:410-686-3931
Practice Address - Fax:410-881-4572
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0063176207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDI39624Medicare UPIN