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General NPI Number Information
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NPI Number | 1457587842
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Entity Type | Individual
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Provider Name | NDIDI EUGENE MADU D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2009
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 11720 AMBER PARK DR STE 160
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City | ALPHARETTA
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State | GA
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Zip | 30009-2271
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Country | US
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Telephone | 855-232-7888
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Fax | 603-912-8394
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Provider Business Mailing Address
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Address Line | 49 LAFAYETTE RD UNIT C
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City | HAMPTON FALLS
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State | NH
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Zip | 03844-2326
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Country | US
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Telephone | 770-929-0404
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Fax | 603-912-8394
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 065703
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 65703
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License Number State | GA
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