Provider Demographics
NPI:1497383384
Name:MEME, CHIKA WINIFRED (MBBS)
Entity type:Individual
Prefix:
First Name:CHIKA
Middle Name:WINIFRED
Last Name:MEME
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:CHIKA
Other - Middle Name:WINIFRED
Other - Last Name:MEME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS
Mailing Address - Street 1:36 PINE ST UNIT 319
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-3977
Mailing Address - Country:US
Mailing Address - Phone:832-965-9596
Mailing Address - Fax:
Practice Address - Street 1:45 READE PL
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3947
Practice Address - Country:US
Practice Address - Phone:845-483-0447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-28
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY330781-01207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine