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Contact Information

KELECHI MADUKA
4229 GLENHAVEN DR
GARLAND, TX75042-6120
 Phone: 469-209-3783
 Fax: 972-918-5166
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Administrator

163WA2000X
Indicates primary specialty

NPI Profile & details for KELECHI MADUKA · (Male)

NPI # 1710509740
Status Active
Credentials
Entity Individual
Enumeration date 05/13/2020
Last updated 05/13/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 789766
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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