| Dr Nwonukwuru Ibechenjor Amadi, MD | |
|
130 Division St, Derby, CT 06418-1326 | |
| (203) 732-1330 | |
| (203) 732-1332 |
| Full Name | Dr Nwonukwuru Ibechenjor Amadi |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 130 Division St, Derby, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376112060 | NPI | - | NPPES |
| 1376112060 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 078281 (Connecticut) | Primary |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nwonukwuru Ibechenjor Amadi, MD 6316 Patterson St, Riverdale, MD 20737-2539 Ph: (240) 643-2214 | Dr Nwonukwuru Ibechenjor Amadi, MD 130 Division St, Derby, CT 06418-1326 Ph: (203) 732-1330 |
Genevieve Cecile Kela, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7327 | |
Dr. Gerald George Fette, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332 | |
Dr. Banya Myo Win, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 Division St, Derby, CT 06418 Phone: 230-735-7421 | |
Dr. Barbara Odac, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332 | |
Dr. Howard Quentzel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7439 Fax: 203-732-1425 | |
Dr. Mukesh Kumar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332 | |
Divya Mamootil, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 Seymour Ave Ste 202, Derby, CT 06418 Phone: 203-732-2651 Fax: 203-732-2654 |