Maduakolam, Chinedu Uzoma

Maduakolam, Chinedu Uzoma is an individual health care provider with primary practice located at 6865 Parkdale Pl Suite A, Indianapolis IN 46254-5654. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Maduakolam, Chinedu Uzoma can be contacted via phone (317) 291-1211.

Contact Information

Primary practice address
6865 Parkdale Pl Suite A Indianapolis IN 46254-5654
Phone: (317) 291-1211
Fax: (317) 291-1194
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01060259A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01060259A Indiana

Profile Details

NPI number 1114912557
LBN Legal business name Maduakolam, Chinedu Uzoma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Nov 23rd, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114912557 NPPES
Indiana MEDICAID 200811710
Indiana MEDICAID 20811710
Indiana MEDICAID 7100130540

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