Provider Demographics
NPI:1740418177
Name:NNAJI, CHIBUZOR NKIRUKA (MD)
Entity Type:Individual
Prefix:
First Name:CHIBUZOR
Middle Name:NKIRUKA
Last Name:NNAJI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHIBUZOR
Other - Middle Name:NKIRUKA
Other - Last Name:OLISA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1456 BENTLEY LN SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-6256
Mailing Address - Country:US
Mailing Address - Phone:510-499-5578
Mailing Address - Fax:
Practice Address - Street 1:1456 BENTLEY LN SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-6256
Practice Address - Country:US
Practice Address - Phone:770-977-1057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA68745207R00000X, 208M00000X
CAA123225207R00000X
TN54191207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine