MEDICARE: MR. MADU J NWAJIAKU NP

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	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	0024188927	VA
2	2084P0802X	Addiction Psychiatry Physician	0024188927	VA
3	2084P0800X	Psychiatry Physician	0024188927	VA

General Provider Information

NPI Number	:	1598532483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MADU J NWAJIAKU NP

Provider Business Mailing Address
First Line	:	1700 FRONT ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23222-4098
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 N ROBINSON ST STE 305
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23220-4461
Country	:	US
Telephone Number	:	804-773-1571
Fax Number	:

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

Provider Enumeration Date	:	12/11/2023
Last Update Date	:	04/23/2026

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