Provider Demographics
NPI:1245662139
Name:NWOKE, CHINONYE UZOAMAKA (MD)
Entity type:Individual
Prefix:DR
First Name:CHINONYE
Middle Name:UZOAMAKA
Last Name:NWOKE
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 1:1811 BUCKHEAD LN NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-6103
Mailing Address - Country:US
Mailing Address - Phone:410-428-2440
Mailing Address - Fax:
Practice Address - Street 1:1811 BUCKHEAD LN NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-6103
Practice Address - Country:US
Practice Address - Phone:410-428-2440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-02
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA74825207Q00000X
WAMD61296182208M00000X
OK44817208M00000X
NMMD2023-1005207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2209757Medicaid