Provider Demographics
NPI:1497985964
Name:ANIGBO, ANITA UZOMA (MD)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:UZOMA
Last Name:ANIGBO
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 1:132 N DUNCAN ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-1637
Mailing Address - Country:US
Mailing Address - Phone:410-276-1390
Mailing Address - Fax:410-276-1390
Practice Address - Street 1:132 N DUNCAN ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-1637
Practice Address - Country:US
Practice Address - Phone:410-276-1390
Practice Address - Fax:410-276-1390
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-19
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0068465207Q00000X, 208M00000X, 207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine