Individual ProviderChinwe ObuduluDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address111 Michigan Ave NW, Washington, DC 20010-2916(888) 884-2327(202) 476-4705PECOS EnrollmentBased on the most recent information from CMS, provider Chinwe Obudulu does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1295367670Provider TypeIndividualFull NameObudulu, ChinweCredentialRDGenderFemaleSole ProprietorNoEnumeration Date2/4/2020Last Updated6/24/2021Contact InformationPractice LocationPractice Address111 Michigan Ave NW, Washington, DC 20010-2916Phone(888) 884-2327FaxUnlisted FaxMailing LocationMailing Address111 Michigan Ave NW Ste 3600, Washington, DC 20010-2916Phone(202) 476-4705FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicense86150000Texas