MEDICARE: CHRISTIAN MADUOMA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	35.124082	OH

General Provider Information

NPI Number	:	1467739177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIAN MADUOMA MD

Provider Business Mailing Address
First Line	:	4425 HILL AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-5410
Country	:	US
Telephone Number	:	567-318-5440
Fax Number	:	567-318-5472

Provider Business Practice Location Address
First Line	:	4425 HILL AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-5410
Country	:	US
Telephone Number	:	567-318-5440
Fax Number	:	567-318-5472

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2011
Last Update Date	:	02/09/2026

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Directions to “ CHRISTIAN MADUOMA MD” Practice Location

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