Provider Demographics
NPI:1548292808
Name:OHUOHA, CHIDEHA MACDONALD (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:CHIDEHA
Middle Name:MACDONALD
Last Name:OHUOHA
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
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Mailing Address - Street 1:3704 26TH AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-3010
Mailing Address - Country:US
Mailing Address - Phone:301-630-4009
Mailing Address - Fax:301-630-6916
Practice Address - Street 1:3704 26TH AVE
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-3010
Practice Address - Country:US
Practice Address - Phone:301-630-4009
Practice Address - Fax:301-630-6916
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDO46159-PSYCHIATRY174400000X
MDD461592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD473557OtherMDIPA/OPTICHOI/ALLIAN/MAM
KY190989440447OtherHUMANA
DC034608300OtherDC MEDICAID
MN2204738OtherCIGNA
VA1619929OtherVALUE OPTIONS
MD293SOther2ND MEDICARE
CA345654Other(MHN)MANAGEDHEALTHNETWORK
MD160331100Medicaid
TX5654040OtherAETNA
MD71950001OtherBLUE CROSS/BLUE SHIELD