Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nchedochukwu Idahosa, PA

Individual provider Physician Assistant · NPI 1306352638

Nchedochukwu Idahosa, PA is a Physician Assistant in Dundalk, Maryland. Qualified in 2017, 9 years ago. Practices with Medstar Medical Group II LLC, a 3,717-clinician group and works from 3 locations. Licensed in Maryland.

Years since qualifying
9
Licensed in
MD
In the registry since
2017
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1576 Merritt Blvd Ste 18
Dundalk, MD 21222-2132
Phone: (443) 693-7246
Fax: (443) 399-8309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3421 Benson Ave Ste 210, Baltimore, MD 21227-1064 — (443) 693-7246
  • 8100 Sandpiper Cir Ste 214, Nottingham, MD 21236-4999 — (443) 693-7246

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C06724 (MD)

Record details

NPI number1306352638
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 22, 2017
Last updated in NPPESMarch 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Medstar Medical Group Ii Llc — 3717 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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