Chinanu Chidi | Louisville, KY • PECOS Search

Chinanu Chidi

Internal Medicine

Allopathic & Osteopathic Physicians

550 S Jackson St Fl Street3, Louisville, KY 40202-1622

PECOS Enrollment

Based on the most recent information from CMS, provider Chinanu Chidi does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 11 days ago.

Profile Details

Provider ID
1457046716
Provider Type
Individual
Full Name
Chidi, Chinanu
Gender
Female

Sole Proprietor
No
Enumeration Date
4/11/2023
Last Updated
7/31/2025

Contact Information

Practice Location

550 S Jackson St Fl Street3, Louisville, KY 40202-1622

Unlisted Fax

Mailing Location

550 S Jackson St Fl Street3, Louisville, KY 40202-1622

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License R7236 Kentucky