Individual
AUSTIN NWAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASE MANAGER
Contact information
Practice address
3919 MEADOWS DR, INDIANAPOLIS, IN 46205-3113
(317) 541-1836
(317) 541-1858
Mailing address
3919 MEADOWS DR, INDIANAPOLIS, IN 46205-3113
(317) 541-1836
(317) 541-1858
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
432084194
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200383070A
—
IN
Enumeration date
06/18/2008
Last updated
09/16/2010
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