Individual
DR. NDIDIAMAKA O OBADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,MS
Contact information
Practice address
3105 CREEKSIDE VILLAGE DR NW STE 801, KENNESAW, GA 30144-4218
(404) 566-4623
Mailing address
3105 CREEKSIDE VILLAGE DR NW STE 801, KENNESAW, GA 30144-4218
(404) 566-4623
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37945
SC
207RH0005X
Hypertension Specialist Physician
84055
GA
207RN0300X
Nephrology Physician
37945
SC
207RN0300X
Nephrology Physician
7271580
ID
207RN0300X
Nephrology Physician
Primary
84055
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/08/2012
Last updated
04/29/2026
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