Active NPIIndividual providerSole proprietor

Obinna I Maduka, MD

Pediatrics in North Windham, Connecticut

NPI Number1710065917
Practice location
387 Tuckie RD Ste C, North Windham, CT 06256-1355
Fax
860-456-1298
Last updated
July 8, 2007

Obinna I Maduka is a Pediatrics based in North Windham, CT. Obinna I Maduka practices in North Windham, CT and has the professional credentials of MD. The NPI Number for Obinna I Maduka is 1710065917 and holds a License No. 037518 (CT). The current practice location address for Obinna I Maduka is 387 Tuckie RD Ste C, North Windham, CT 06256-1355 and can be reached out via phone at 860-456-1279 and via fax at 860-456-1298.

Provider Profile Details

NPI Number
1710065917
Provider Name
Obinna I Maduka
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
387 Tuckie RD Ste C, North Windham, CT 06256-1355
Phone Number
860-456-1279
Fax Number
860-456-1298
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Other Names
-- Obinna Maduka, MD (Former Name)
Provider Enumeration Date
November 2, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
387 Tuckie RD Ste C
North Windham, CT 06256-1355
Zip
06256-1355
Phone Number
860-456-1279
Fax Number
860-456-1298
North Windham, CT 06256Get directions →

Provider Business Mailing Address Details

Address
387 Tuckie RD Ste C
North Windham, CT 06256-1355
City
North Windham
State
CT
Zip
06256-1355
Phone Number
860-456-1279
Fax Number
860-456-1298

License Information

License Number
037518
License State
CT
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Obinna I Maduka, MD?

The NPI number of Obinna I Maduka, MD is 1710065917. It was assigned on November 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Obinna I Maduka, MD?

Obinna I Maduka, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 037518.

Where does Obinna I Maduka, MD practice?

The practice location is 387 Tuckie RD Ste C, North Windham, CT 06256-1355. The office can be reached at 860-456-1279 (phone) or 860-456-1298 (fax).

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 1710065917 directly on the NPPES registry website.

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