Provider Demographics
NPI:1255890240
Name:ONYEBEKE, CHUKWUMA OBINNA
Entity type:Individual
Prefix:
First Name:CHUKWUMA
Middle Name:OBINNA
Last Name:ONYEBEKE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 E 70TH ST # 463
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-9800
Mailing Address - Country:US
Mailing Address - Phone:646-962-5558
Mailing Address - Fax:212-746-4610
Practice Address - Street 1:38 E 32ND ST FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5568
Practice Address - Country:US
Practice Address - Phone:646-962-5558
Practice Address - Fax:646-862-9012
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335765207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease