Provider Demographics
NPI:1275754731
Name:ORJIOKE, NGOZIKA A (MD)
Entity Type:Individual
Prefix:
First Name:NGOZIKA
Middle Name:A
Last Name:ORJIOKE
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 1:1136 CLEVELAND AVE STE 615
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-3618
Mailing Address - Country:US
Mailing Address - Phone:404-254-5388
Mailing Address - Fax:404-565-1255
Practice Address - Street 1:1136 CLEVELAND AVE STE 615
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-3618
Practice Address - Country:US
Practice Address - Phone:404-254-5388
Practice Address - Fax:404-565-1255
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36117989207R00000X
GA65598207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003113010AMedicaid
GA1275754731Medicare UPIN
GA003113010AMedicaid