Individual
ADAOBI KANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4102 24TH ST STE 507, LUBBOCK, TX 79410
(806) 743-7334
(806) 743-7332
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
N0874
TX
2080P0214X
Pediatric Pulmonology Physician
Primary
N0874
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02356509
—
NY
01
—
528X41
EMPIRE BC.BS
NY
01
—
7926444
AETNA
NY
Enumeration date
06/04/2006
Last updated
12/03/2021
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