Basic Information
| Provider Information | |||||||||
| NPI: | 1871785287 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MBABUIKE | ||||||||
| FirstName: | NNENNA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4677 TOWNE CENTRE RD STE 301 | ||||||||
| Address2: | |||||||||
| City: | SAGINAW | ||||||||
| State: | MI | ||||||||
| PostalCode: | 486042848 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8552989888 | ||||||||
| FaxNumber: | 9894973128 | ||||||||
| Practice Location | |||||||||
| Address1: | 4677 TOWNE CENTRE RD STE 301 | ||||||||
| Address2: | |||||||||
| City: | SAGINAW | ||||||||
| State: | MI | ||||||||
| PostalCode: | 486042848 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8552989888 | ||||||||
| FaxNumber: | 9894973128 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2007 | ||||||||
| LastUpdateDate: | 04/06/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/06/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | 124455 | FL | Y | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.