Individual
DR. GODWIN O MADUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHARMD
Contact information
Practice address
3835 S JONES BLVD STE 104, LAS VEGAS, NV 89103-2283
(702) 880-4193
(702) 880-4197
Mailing address
4616 W SAHARA AVE # 337, LAS VEGAS, NV 89102-3654
(702) 880-4193
(702) 880-4197
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
8235
NV
207LP2900X
Pain Medicine (Anesthesiology) Physician
8235
NV
208VP0014X
Interventional Pain Medicine Physician
Primary
8235
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019950
—
NV
Enumeration date
09/06/2006
Last updated
05/20/2019
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