Individual provider · NPI-1
Dr. Ndidi Nelly Azikiwe, M.D.
Surgery · Raleigh, NC
NPI number1083637128
StatusActive
Last updated in NPPESFeb 11, 2021
Details
- NPI
- 1083637128
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ndidi Nelly Azikiwe
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2006
- Certification date
- Feb 11, 2021
- Last updated
- Feb 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 2005-00858 | NC | Yes |
Practice location
3024 New Bern AveSuite 304 - Surgery / Trauma
Raleigh, NC 27610-1247
Phone 919-350-7251 · Fax 919-871-1228
Mailing address
2920 Highwoods BlvdRaleigh, NC 27604-0010
Phone 877-498-4490
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