ADAOBI KANU (NPI# 1518905934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518905934 |
| Entity Type | Individual |
| Full Name | ADAOBI KANU |
| Credential | MD |
| Practice Address |
4102 24th St Ste 507 Lubbock TX 79410 |
| Mailing Address |
Po Box 5865 Lubbock TX 79408-5865 |
| Practice Telephone | 8067437334 |
| Practice Fax Number | 8067437332 |
| Mailing Telephone | 8067432898 |
| Mailing Fax Number | 8067432787 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2018-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | N0874 | TX | Allopathic & Osteopathic Physicians |
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
N0874 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AETNA | 7926444 | 01 |
| NY | 02356509 | 05 | |
| NY | EMPIRE BC.BS | 528X41 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3601 4th St, Ms 9406, Lubbock, TX 794300002 | 8067437337 | 8067437329 |
| Street Address |
4102 24TH ST STE 507 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851387393 | Surendra Varma | Pediatrics | 4102 24th St Ste 507, Lubbock, TX 79410-1805 | 2005-09-20 |
| 1851935365 | Jasmine Sanchez-ximenez | Nurse Practitioner | 4102 24th St Ste 507, Lubbock, TX 79410-1805 | 2019-10-29 |
| 1932611969 | Texas Tech University Health Sciences Center Lubbock | Durable Medical Equipment & Medical Supplies | 4102 24th St Ste 507, Lubbock, TX 79410-1805 | 2017-10-31 |
| 1124205513 | Nancy Louise Beck | Pediatrics | 4102 24th St Ste 507, Lubbock, TX 79410 | 2008-01-28 |
| 1457342842 | Michael Bourgeois | Pediatrics | 4102 24th St Ste 507, Lubbock, TX 79410-1805 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891085528 | Sonal Malhotra | Pediatrics | 7700 Fannin St Ste 1040, Houston, TX 77054 | 2011-04-14 |
| 1669792248 | Joseph Tayar | Pediatrics | 11111 Research Blvd Ste 300, Austin, TX 78759-5792 | 2010-06-07 |
| 1003143553 | Marlene D. Typaldos Sanchez | Pediatrics | 6701 Fannin St Ste 1040, Houston, TX 77030-2611 | 2009-11-04 |
| 1508031956 | Arthur C Ogborn Jr. | Pediatrics | 844 Central Blvd Ste 420, Brownsville, TX 78520-7535 | 2008-04-28 |
| 1417125154 | Texas Pediatric Pulmonary Consultants, P.a. | Pediatrics | 140 W Lamberth Rd, Suite C, Sherman, TX 75092-2667 | 2008-02-15 |
| 1073702981 | Austin Children's Chest Associates II | Pediatrics | 3305 Northland Dr Ste 512, Austin, TX 78731-4991 | 2007-10-16 |
| 1083807820 | Kavita A Patel | Pediatrics | 8611 N Mopac Expy Ste 300, Austin, TX 78759-8319 | 2007-08-24 |
| 1144309279 | Harold J. Farber | Pediatrics | 6701 Fannin St, 9th Floor, Mc Cc 920.01, Texas Children's Hospital Clinical Care Center, Houston, TX 77030 | 2006-11-02 |
| 1710062237 | Roberto A Ayres Mdpa | Pediatrics | 1900 South Jackson, Ste 7, Mcallen, TX 78501 | 2006-10-25 |
| 1083721377 | Lee Kirchner | Pediatrics | 3619 Paesanos Parkway, Suite 212, San Antonio, TX 78231-1255 | 2006-08-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.