Provider Demographics
NPI:1083774335
Name:AMADI, GEOFFREY O
Entity Type:Individual
Prefix:MR
First Name:GEOFFREY
Middle Name:O
Last Name:AMADI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9922 KINGSVILLE PARK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6428
Mailing Address - Country:US
Mailing Address - Phone:832-875-7730
Mailing Address - Fax:281-564-7934
Practice Address - Street 1:9922 KINGSVILLE PARK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6428
Practice Address - Country:US
Practice Address - Phone:832-875-7730
Practice Address - Fax:281-564-7934
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator