Chukwuemeka Ndulue
Organization Active NPI Pediatrics Physician · Gridley, CA
NPI 1891870069 · NPPES record last updated May 10, 2022
Key facts
- NPI
- 1891870069
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- A48878 (CA)
- Legal business name
- CHUKWUEMEKA NDULUE
- Practice address
- 135 Spruce St
Gridley, CA 95948-2239 - Phone
- (530) 846-1400
- Fax
- (530) 846-4762
- NPI assigned
- Oct 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Chuk Ndulue, MD
- Title
- MD, Ceo
- Phone
- (530) 846-1400
Corporate family (same tax ID) 1
Practitioners 2
-
Fariha Atmar, PA-C
National Provider Directory
- Tax ID family
- Chukwuemeka Ndulue
Locations
135 Spruce St
Gridley, CA 95948
Phone (530) 846-1400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | A48878 | CA | Yes |
Addresses
Primary practice location
135 Spruce St
Gridley, CA 95948-2239
Mailing address
135 Spruce St
Gridley, CA 95948-2239
Phone (530) 846-1400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RHM53931F | Medicaid | CA |
Other providers in Gridley, CA
- Sarai Cano Martinez
- Greg P Carlin
- Liliana Castro Hernandez
- Tarynn Chase-Peterson
- Children'S Hope Foster Family Agency
- Taryn Marie Clay
- Jackson D Corley
- County of Butte
- County of Butte
- David Bond Daddow
All providers in Gridley, CA · Pediatrics Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2022. 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.