Provider Demographics
NPI:1265394324
Name:AKUJUOBI, MMADUABUCHI
Entity type:Individual
Prefix:
First Name:MMADUABUCHI
Middle Name:
Last Name:AKUJUOBI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 4TH ST APT 4
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-4122
Mailing Address - Country:US
Mailing Address - Phone:832-402-3335
Mailing Address - Fax:
Practice Address - Street 1:701 4TH ST APT 4
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-4122
Practice Address - Country:US
Practice Address - Phone:832-402-3335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-26
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker