Madu, Gabriel Ikemba

Madu, Gabriel Ikemba is an individual health care provider with primary practice located at 2363 Highway 1 S , Greenville MS 38701-8337. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Madu, Gabriel Ikemba can be contacted via phone (662) 334-1253.

Contact Information

Primary practice address
2363 Highway 1 S Greenville MS 38701-8337
Phone: (662) 334-1253
Fax: (662) 741-2700
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X T-3270 Mississippi
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X T-3270 Mississippi
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25560 Mississippi

Profile Details

NPI number 1437491123
LBN Legal business name Madu, Gabriel Ikemba
Credentials M.D., D.O., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2013
Last updated Jul 25th, 2018 - about 8 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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