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NPI 1063092955

IndividualActive

Chineze Mbanugo, MD

NPI 1063092955 · Pain Medicine (Anesthesiology) Physician · Detroit, MI

Provider details

NPI number: 1063092955
Entity type: Individual
Primary specialty: Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Female
Sole proprietor: Yes
License: 5315233823 (MI)

Specialties & taxonomies

Pain Medicine (Anesthesiology) PhysicianPrimary207LP2900XLicense 5315233823 (MI)
Allopathic & Osteopathic Physicians

Practice location

2799 W Grand Blvd

Detroit, MI 48202-2689

Phone: (313) 916-1601

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

600 S Paulina St

Chicago, IL 60612-3806

Additional practice locations (2)

600 S Paulina St
Chicago, IL 60612-3806
Phone: (312) 942-7100
15 Michigan St Ne
Grand Rapids, MI 49503-2508
Phone: (734) 620-5578

Registry dates

Enumerated: 2021-04-13
Last updated: 2026-04-25
Certified: 2026-04-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Chineze Mbanugo, MD — NPI 1063092955, Detroit, MI | NPI Central