IKECHUKWU MGBUDEM NPI 1003705617

NPI Information

  • NPI: 1003705617
  • Provider Name: IKECHUKWU MGBUDEM
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: OAKLAND INTEGRATED HEALTH CARE NETWORK DBA HONOR COMMUN
    461 WEST HURON STREET, SUITE 107
    PONTIAC, MI
    ZIP 48341
  • Phone: (248) 724-7600

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NPI Details

Ikechukwu Mgbudem is a family medicine in Pontiac, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Ikechukwu Mgbudem NPI is 1003705617. 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:

OAKLAND INTEGRATED HEALTH CARE NETWORK DBA HONOR COMMUN
461 WEST HURON STREET, SUITE 107
PONTIAC, MI
ZIP 48341-150
Phone: (248) 724-7600
Fax: (248) 857-7141

The enumeration date for this NPI number is 6/30/2025 and was last updated on 6/30/2025.

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 Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4351055089MICHIGANYes

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: 11/21/2025

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