Provider Demographics
NPI:1023273588
Name:NWAMU, NDIDI (DO)
Entity type:Individual
Prefix:DR
First Name:NDIDI
Middle Name:
Last Name:NWAMU
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 HOLME AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-2007
Mailing Address - Country:US
Mailing Address - Phone:407-482-4101
Mailing Address - Fax:407-482-4157
Practice Address - Street 1:900 PLYMOUTH AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-3744
Practice Address - Country:US
Practice Address - Phone:407-482-4101
Practice Address - Fax:321-247-6910
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS015484208M00000X
FLOS11673207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine