Provider Demographics
NPI:1245925981
Name:MADU, CHIKA SANDRA (MD)
Entity type:Individual
Prefix:
First Name:CHIKA
Middle Name:SANDRA
Last Name:MADU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NORTHWELL HEALTH, 2200 NORTHERN BOULEVARD, ENTRANCE A
Mailing Address - Street 2:SUITE 104
Mailing Address - City:GREENVALE
Mailing Address - State:NY
Mailing Address - Zip Code:11548
Mailing Address - Country:US
Mailing Address - Phone:516-304-7234
Mailing Address - Fax:
Practice Address - Street 1:NORTHWELL HEALTH, 2200 NORTHERN BOULEVARD, ENTRANCE A
Practice Address - Street 2:SUITE 104
Practice Address - City:GREENVALE
Practice Address - State:NY
Practice Address - Zip Code:11548
Practice Address - Country:US
Practice Address - Phone:516-304-7234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2025-09-18
Deactivation Date:2023-11-17
Deactivation Code:
Reactivation Date:2025-09-18
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program