Obele, Chika C
Obele, Chika C is an individual health care provider with primary practice located at 7945 Wolf River Blvd , Germantown TN 38138-1762. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Obele, Chika C can be contacted via phone (901) 683-0055.Contact Information
Primary practice address
7945 Wolf River Blvd
Germantown TN 38138-1762
Phone: (901) 683-0055
Fax: (901) 685-2969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 62302 | Tennessee |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 28183 | Mississippi |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 28183 | Mississippi |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 62302 | Tennessee |
Profile Details
| NPI number | 1639478837 |
|---|---|
| LBN Legal business name | Obele, Chika C |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2011 |
| Last updated | Jan 7th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639478837 | NPPES |
| Tennessee | MEDICAID | Q062205 | |
| Tennessee | MEDICAID | PENDING | |
| Tennessee | MEDICAID | 257809001 |
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