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Individual

CHINEDU UZOMA MADUAKOLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6865 PARKDALE PL, SUITE A, INDIANAPOLIS, IN 46254-5654
(317) 291-1211
(317) 291-1194
Mailing address
6865 PARKDALE PL, SUITE A, INDIANAPOLIS, IN 46254-5654
(317) 291-1211
(317) 291-1194

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
01060259A
IN
207P00000X
Emergency Medicine Physician
Primary
01060259A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0103805
OH
05
200811710
IN
05
20811710
IN
05
7100130540
KY
Enumeration date
09/12/2005
Last updated
10/10/2025
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