Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD038479L | PA |
Y | 208600000X | Surgeon | MD038479L | PA |
NPI | 1013979152 |
---|---|
Provider Name | Dr. Chukwuemeka Felix Mbadiwe |
First Address | Wilmington, DE 19803-5121 |
Second Address | Wilmington, DE 19803-5121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
89134 | (05) | NC |
H31848A | (02) | |
N00379 | (05) | SC |
PIN# 044930(N4G | (02) |