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NPI Code Detail

MEDICARE: MICHAEL CHINEDU NWUDE M.D., MPH

MEDICARE: MICHAEL CHINEDU NWUDE M.D., MPH
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
1207Q00000XFamily Medicine PhysicianA76605CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477547032
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL CHINEDU NWUDE M.D., MPH
Provider Business Mailing Address
First Line : PO BOX 21701
Second Line :
City : COLUMBIA
State : SC
Zip : 29221-1701
Country : US
Telephone Number : 310-308-6999
Fax Number :
Provider Business Practice Location Address
First Line : 3209 COLONIAL DR
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-6930
Country : US
Telephone Number : 310-308-6999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 04/30/2009

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