Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
NORTHSTAR INTERNAL MEDICINE PA
Active
Organization
NORTHSTAR INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IKECHUKWU A NWABUDE MD (PRESIDENT AND CEO)
(469) 209-9110
Entity
Organization
Contact information
Practice address
5720 APPALOSSA DR, GRAND PRAIRIE, TX 75052-2522
(817) 717-1299
Mailing address
5720 APPALOSSA DR, GRAND PRAIRIE, TX 75052-2522
(469) 209-9110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N5288
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N5288
TEXAS LICENSE
TX
Enumeration date
10/17/2012
Last updated
04/17/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up