Igwemezie, Benjamin Maduakonam

Igwemezie, Benjamin Maduakonam is an individual health care provider with primary practice located at 635 N Main St , High Point NC 27260-5017. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Igwemezie, Benjamin Maduakonam can be contacted via phone (336) 887-0038.

Contact Information

Primary practice address
635 N Main St High Point NC 27260-5017
Phone: (336) 887-0038
Fax: (336) 885-8096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 94-01418 North Carolina
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 9401418 North Carolina

Profile Details

NPI number 1518921188
LBN Legal business name Igwemezie, Benjamin Maduakonam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated May 20th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518921188 NPPES
North Carolina MEDICAID 8945208

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