=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225829898
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ADAOLA PATRICIA ONYENAKA MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/14/2025
-----------------------------------------------------
Last Update Date | 05/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | STAR COMMUNITY HEALTH KIDSCARE-SIGAL HEALTH 450 WEST CHEW STREET, SUITE 203
-----------------------------------------------------
City | ALLENTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18102
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-822-7850
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | ST. LUKE'S UNIVERSITY HEALTH NETWORK-ANDERSON MEDICAL EDUCATION OFFICE, 1700 ST. LUKE'S BLVD
-----------------------------------------------------
City | EASTON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18045
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-822-7850
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number | MT233828
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------