Ginikachukwu M Agudosi, MD
Student in an Organized Health Care Education/Training Program in Farmington, Connecticut
1093146524- Practice location
- 263 Farmington Ave, Farmington, CT 06030-2342
- Phone
- 860-679-4477
- Fax
- —
- Last updated
- April 15, 2024
Ginikachukwu Marylinda Agudosi is a Student in an Organized Health Care Education/Training Program based in Farmington, CT. Ginikachukwu Marylinda Agudosi practices in Farmington, CT and has the professional credentials of MD. The NPI Number for Ginikachukwu Marylinda Agudosi is 1093146524 and holds a License No. R205773 (MD). The current practice location address for Ginikachukwu Marylinda Agudosi is 263 Farmington Ave, Farmington, CT 06030-2342 and can be reached out via phone at 860-679-4477.
Provider Profile Details
- NPI Number
- 1093146524
- Provider Name
- Ginikachukwu Marylinda Agudosi
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 263 Farmington Ave, Farmington, CT 06030-2342
- Phone Number
- 860-679-4477
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 10, 2013
- Last Update Date
- April 15, 2024
- Certification Date
- April 2, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 263 Farmington Ave
Farmington, CT 06030-2342 - City
- Farmington
- State
- Connecticut
- Zip
- 06030-2342
- Phone Number
- 860-679-4477
Provider Business Mailing Address Details
- Address
- 263 Farmington Ave
Farmington, CT 06030-8021 - City
- Farmington
- State
- CT
- Zip
- 06030-8021
- Phone Number
- 860-679-4477
License Information
- License Number (1)
- R205773
- License State (1)
- MD
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ginikachukwu M Agudosi, MD?
The NPI number of Ginikachukwu M Agudosi, MD is 1093146524. It was assigned on December 10, 2013 and is currently active in the NPPES registry.
What is the specialty of Ginikachukwu M Agudosi, MD?
Ginikachukwu M Agudosi, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in MD under license number R205773.
Where does Ginikachukwu M Agudosi, MD practice?
The practice location is 263 Farmington Ave, Farmington, CT 06030-2342. The office can be reached at 860-679-4477 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093146524 directly on the NPPES registry website.