Provider Demographics
NPI:1689191108
Name:USUWA, CHIZOBA (MD)
Entity type:Individual
Prefix:
First Name:CHIZOBA
Middle Name:
Last Name:USUWA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2313 W 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71603-5049
Mailing Address - Country:US
Mailing Address - Phone:870-895-5385
Mailing Address - Fax:440-596-4547
Practice Address - Street 1:2313 W 28TH AVE
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603-5049
Practice Address - Country:US
Practice Address - Phone:870-895-5385
Practice Address - Fax:440-596-4547
Is Sole Proprietor?:No
Enumeration Date:2017-08-25
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017020541207Q00000X
ARE-15827207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine