DR. PRIMUS MBAWUIKE MD NPI 1487008793

NPI Information

NPI: 1487008793
Provider Name: DR. PRIMUS MBAWUIKE, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
201 N CLIFTON ST
FORDYCE, AR
ZIP 71742
Phone: (870) 352-6300
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DR. Primus Mbawuike, MD is a general practice in Fordyce, AR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Primus Mbawuike, MD NPI is 1487008793. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

201 N CLIFTON ST
FORDYCE, AR
ZIP 71742-026
Phone: (870) 352-6300

The NPI 1487008793 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/22/2016 and was last updated on 12/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207P00000X	Emergency Medicine	E-13277	ARKANSAS	No
2	390200000X	Student in an Organized Health Care Education/Training Program			No
3	208D00000X	General Practice	E-13277	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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