Provider Demographics
NPI:1730405770
Name:OGBONNA, CHINYERE I (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:CHINYERE
Middle Name:I
Last Name:OGBONNA
Suffix:
Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:401 QUARRY RD
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305
Mailing Address - Country:US
Mailing Address - Phone:650-498-4801
Mailing Address - Fax:
Practice Address - Street 1:2001 THE ALAMEDA
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-1136
Practice Address - Country:US
Practice Address - Phone:408-261-7777
Practice Address - Fax:408-261-2899
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-15
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA133953207Q00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine