Provider Demographics
NPI:1275039869
Name:OGBUCHI, ASHMEER (MD)
Entity Type:Individual
Prefix:
First Name:ASHMEER
Middle Name:
Last Name:OGBUCHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASHMEER
Other - Middle Name:
Other - Last Name:CHIMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:880 GLENWOOD AVE SE UNIT 2547
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-1945
Mailing Address - Country:US
Mailing Address - Phone:770-852-0933
Mailing Address - Fax:
Practice Address - Street 1:1640 POWERS FERRY RD SE OFC PARK
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-5491
Practice Address - Country:US
Practice Address - Phone:678-336-6875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-02
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA390200000X
GA897242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program