NKIRUKA J UDEJIOFOR MD NPI 1952496770

NPI Information

  • NPI: 1952496770
  • Provider Name: NKIRUKA J UDEJIOFOR, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 750 TOWN PARK LANE
    KAISER PERMANENLE TOWN PARK COMPREHENSIVE MEDICAL CENTE
    KENNESAW, GA
    ZIP 30144
  • Phone: (770) 514-5401

Map and Directions

Get Directions

NPI Details

Nkiruka J Udejiofor, MD is a family medicine in Kennesaw, GA. 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. Nkiruka J Udejiofor, MD NPI is 1952496770. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

750 TOWN PARK LANE
KAISER PERMANENLE TOWN PARK COMPREHENSIVE MEDICAL CENTE
KENNESAW, GA
ZIP 30144
Phone: (770) 514-5401

The NPI 1952496770 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 10/4/2006 and was last updated on 9/23/2024.

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 Medicine01061199AINDIANANo
2207Q00000XFamily Medicine059340GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003104939AMEDICAIDGEORGIA
2GA1145MEDICAIDSOUTH CAROLINA
3P00924822OTHERGEORGIARR MEDICARE
4003104939BMEDICAIDGEORGIA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI