Dr Chizobam Nkiru Idahosa, DDS, MS is a
Oral Medicinist based in Philadelphia, Pennsylvania. Dr Chizobam Nkiru Idahosa is licensed to practice in Pennsylvania (license number DS038657) and her current practice location is
240 S 40th St, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(215) 898-8965.
NPI number for Dr Chizobam Nkiru Idahosa is 1669781274 and her current mailing address is 211 Chestnut Ln, North Wales, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669781274.
Healthcare Provider's Profile
Full Name | Dr Chizobam Nkiru Idahosa |
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Gender | Female |
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Speciality | Oral Medicinist |
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Location | 240 S 40th St, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669781274
- Provider Enumeration Date: 09/29/2010
- Last Update Date: 02/18/2023
Medical Identifiers
Medical identifiers for Dr Chizobam Nkiru Idahosa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669781274 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DS038657 (Pennsylvania) | Secondary |
1223X2210X | Dentist - Orofacial Pain | DS038657 (Pennsylvania) | Secondary |
125Q00000X | Oral Medicinist | DS038657 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Chizobam Nkiru Idahosa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Chizobam Nkiru Idahosa, DDS, MS 211 Chestnut Ln, North Wales, PA 19454-1303 Ph: (267) 984-2757 | Dr Chizobam Nkiru Idahosa, DDS, MS 240 S 40th St, Philadelphia, PA 19104-6030 Ph: (215) 898-8965 |
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