Provider Demographics
NPI:1871785287
Name:MBABUIKE, NNENNA (MD)
Entity type:Individual
Prefix:DR
First Name:NNENNA
Middle Name:
Last Name:MBABUIKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4677 TOWNE CENTRE RD STE 301
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-2848
Mailing Address - Country:US
Mailing Address - Phone:855-298-9888
Mailing Address - Fax:989-497-3128
Practice Address - Street 1:4677 TOWNE CENTRE RD STE 301
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2848
Practice Address - Country:US
Practice Address - Phone:855-298-9888
Practice Address - Fax:989-497-3128
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL124455207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery