Provider Demographics
NPI:1164681425
Name:CHIKE, ASSUMPTA OBIAGELI (MD)
Entity type:Individual
Prefix:
First Name:ASSUMPTA
Middle Name:OBIAGELI
Last Name:CHIKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASSUMPTA
Other - Middle Name:OBIAGELI
Other - Last Name:OMENICHEKWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:3031 W GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-3046
Mailing Address - Country:US
Mailing Address - Phone:575-650-3625
Mailing Address - Fax:
Practice Address - Street 1:3031 W GRAND BLVD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-3046
Practice Address - Country:US
Practice Address - Phone:575-650-3625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4351055158207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine