Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chidalu N. Ibeneme, MD

Individual provider Physician Assistant · NPI 1891680542

Chidalu N. Ibeneme, MD is a Physician Assistant in Columbia, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2025
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Hospital Dr
Columbia, MO 65212-1000
Phone: (419) 204-9575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Hospital Dr, Columbia, MO 65212-1000 — (573) 882-8907

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2026026615 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 2024048683 (MO)

Record details

NPI number1891680542
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2025
Last updated in NPPESJuly 11, 2026
Certification dateJuly 11, 2026

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