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WINDHAM PRIMARY CARE LLC
NPI 1780874776
Pediatrics - Adolescent Medicine in North Windham, CT

Active since July 26, 2007
387 TUCKIE RD STE C, NORTH WINDHAM, CT 06256(860) 456-1279(860) 456-1298 Get Directions Write a Review

NPPES record last updated: July 26, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Windham Primary Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WINDHAM PRIMARY CARE LLC (NPI 1780874776) is a healthcare organization registered as an adolescent medicine in North Windham, Connecticut and active in the NPI registry since July 2007. The organization lists Obinna I Maduka, Owner, as its authorized official.

NPPES Registry Identity

NPI1780874776
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameWINDHAM PRIMARY CARE LLC
Location Address387 TUCKIE RD STE CNorth Windham, CT 06256-1355
Mailing Address387 Tuckie Rd Ste CNorth Windham, CT 06256-1355 · (860) 456-1279 · Fax (860) 456-1298
Phone(860) 456-1279
Fax(860) 456-1298
Organization SubpartNo
Authorized OfficialObinna I MadukaOwner · (860) 456-1279
Enumeration DateJuly 26, 2007
✔ NPI 1780874776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in CT · 037518
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
387 TUCKIE RD STE C, North Windham, CT 06256
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OBINNA I MADUKA MD
Pediatrics
387 TUCKIE RD STE C
NORTH WINDHAM, CT 06256
Southeastern Connecticut Planning Region (860) 456-1279

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Windham Primary Care LLC's NPI number?

The NPI number for Windham Primary Care LLC is 1780874776. It was assigned to this organization in the NPPES registry on July 26, 2007.

Where is Windham Primary Care LLC located?

Windham Primary Care LLC is located at 387 Tuckie Rd Ste C, North Windham, CT 06256. The listed phone number is (860) 456-1279.

What is Windham Primary Care LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Windham Primary Care LLC was last updated on July 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.