Madu, Gabriel Ikemba
Madu, Gabriel Ikemba is an individual health care provider with primary practice located at 2363 Highway 1 S , Greenville MS 38701-8337. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Madu, Gabriel Ikemba can be contacted via phone (662) 334-1253.Contact Information
Primary practice address
2363 Highway 1 S
Greenville MS 38701-8337
Phone: (662) 334-1253
Fax: (662) 741-2700
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | T-3270 | Mississippi |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | T-3270 | Mississippi |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25560 | Mississippi |
Profile Details
NPI number | 1437491123 |
---|---|
LBN Legal business name | Madu, Gabriel Ikemba |
Credentials | M.D., D.O., M.P.H. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 21st, 2013 |
Last updated | Jul 25th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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