Elvis Amadi
Individual provider Active NPI Specialist · Dover, DE
NPI 1770943201 · NPPES record last updated Feb 25, 2016
Key facts
- NPI
- 1770943201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- MT.0004153 (DE)
- Practice address
- 1027 S Bradford St
Dover, DE 19904-4141 - Phone
- (302) 465-8253
- NPI assigned
- Feb 25, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT.0004153 | DE | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MT.0004153 | DE | Yes |
Addresses
Primary practice location
1027 S Bradford St
Dover, DE 19904-4141
Mailing address
1027 S Bradford St
Dover, DE 19904-4141
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.