Chukwuemeka Ndulue

Organization Active NPI Pediatrics Physician · Marysville, CA

NPI 1497947782 · NPPES record last updated May 10, 2022

Key facts

NPI
1497947782
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
License
A48878 (CA)
Legal business name
CHUKWUEMEKA NDULUE
Practice address
620 E St
Marysville, CA 95901-5503
Phone
(530) 741-2600
Fax
(530) 741-2659
NPI assigned
Aug 10, 2007
Organization subpart
No

Authorized official

Name
Mayra Delgado
Title
Manager
Phone
(530) 868-7292

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Chukwuemeka Ndulue (2 organizations share this tax ID)

Locations

620 E St
Marysville, CA 95901
Phone (530) 741-2600

825 9th St
Ste C
Marysville, CA 95901
Phone (530) 741-2600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208000000X A48878 CA Yes

Addresses

Primary practice location

620 E St
Marysville, CA 95901-5503

Mailing address

620 E St
Marysville, CA 95901-5503
Phone (530) 741-2600

Other identifiers

IdentifierTypeStateIssuer
RHM53928FMedicaidCA

Other providers in Marysville, CA

All providers in Marysville, CA · Pediatrics Physician in California

Sources for this page

Verify at the official NPI Registry.