Provider Demographics
NPI:1699236976
Name:MADU, CHIKELUBA (MD)
Entity type:Individual
Prefix:
First Name:CHIKELUBA
Middle Name:
Last Name:MADU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:CHIKE
Other - Middle Name:
Other - Last Name:MADU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1865 VETERANS PARK DR STE 101
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-0447
Mailing Address - Country:US
Mailing Address - Phone:203-543-1990
Mailing Address - Fax:855-959-1692
Practice Address - Street 1:1865 VETERANS PARK DR STE 101
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-0447
Practice Address - Country:US
Practice Address - Phone:239-254-7778
Practice Address - Fax:855-959-1692
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-28
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1673792081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine