Provider Demographics
NPI:1275837304
Name:NNAMANI, NWAMAKA PAMELA (MBBS)
Entity Type:Individual
Prefix:DR
First Name:NWAMAKA
Middle Name:PAMELA
Last Name:NNAMANI
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:DR
Other - First Name:NWAMAKA
Other - Middle Name:PAMELA
Other - Last Name:MBADIWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-5347
Mailing Address - Country:US
Mailing Address - Phone:773-749-2220
Mailing Address - Fax:
Practice Address - Street 1:5323 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-7201
Practice Address - Country:US
Practice Address - Phone:617-636-6044
Practice Address - Fax:617-636-8384
Is Sole Proprietor?:No
Enumeration Date:2011-01-04
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1695207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology