Charles Chike Anikwue, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Charlotte, NC
NPI 1124061924 · NPPES record last updated Mar 4, 2008
Key facts
- NPI
- 1124061924
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 22208 (NC)
- Practice address
- 1928 Randolph Rd
Ste. 206
Charlotte, NC 28207-1105 - Phone
- (704) 332-3308
- Fax
- (704) 332-3358
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22208 | NC | MD | Pharmacist |
| 036-103874 | IL | MD | Obstetrics & Gynecology Physician |
| 0101037694 | VA | MD | Obstetrics & Gynecology Physician |
| 48288-020 | WI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte Womens Pavilion | Obstetrics & Gynecology | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 22208 | NC | Yes |
| Obstetrics & Gynecology Physician | 207V00000X | 0101037694 | VA | |
| Obstetrics & Gynecology Physician | 207V00000X | 48288-020 | WI | |
| Obstetrics & Gynecology Physician | 207V00000X | 036-103874 | IL | |
| Obstetrics & Gynecology Physician | 207V00000X | 45318 | MN | |
| Obstetrics & Gynecology Physician | 207V00000X | 4301085899 | MI |
Addresses
Primary practice location
1928 Randolph Rd
Ste. 206
Charlotte, NC 28207-1105
Mailing address
PO Box 680447
Charlotte, NC 28216-0008
Phone (704) 332-3308
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34674700 | Medicaid | WI |
Other providers in Charlotte, NC
- Sarah B Angotti
- Norita Angram
- Sydney Angster
- Megan Draughn Anguiano
- Athena Alvarado Anibaldi
- Rene Chike Anikwue
- Noor Anissa
- Anitra'S Helping Hands
- Anjali Seth DDS PLLC
- Anjies Home Care LLC
All providers in Charlotte, NC · Obstetrics & Gynecology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.