Provider Demographics
NPI:1023219342
Name:OSAKWE, ADAORA I (MD)
Entity Type:Individual
Prefix:
First Name:ADAORA
Middle Name:I
Last Name:OSAKWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2129 FRIENDSHIP RD STE 200
Mailing Address - Street 2:
Mailing Address - City:FLOWERY BRANCH
Mailing Address - State:GA
Mailing Address - Zip Code:30542
Mailing Address - Country:US
Mailing Address - Phone:770-209-2787
Mailing Address - Fax:678-866-2348
Practice Address - Street 1:2129 FRIENDSHIP RD STE 200
Practice Address - Street 2:
Practice Address - City:FLOWERY BRANCH
Practice Address - State:GA
Practice Address - Zip Code:30542
Practice Address - Country:US
Practice Address - Phone:770-209-2787
Practice Address - Fax:678-866-2348
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA063110207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
BP1-0026728OtherINSTITUTIONAL PERMIT
GA371878387AMedicaid
BP1-0026728OtherINSTITUTIONAL PERMIT