Provider Demographics
NPI:1821358870
Name:ANJOU, CHIOMA ANTONIA IHUNNAH (MD)
Entity Type:Individual
Prefix:DR
First Name:CHIOMA
Middle Name:ANTONIA IHUNNAH
Last Name:ANJOU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:245 ALVORD PARK RD BLDG B
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-3493
Mailing Address - Country:US
Mailing Address - Phone:860-496-0455
Mailing Address - Fax:860-482-7513
Practice Address - Street 1:245 ALVORD PARK RD BLDG B
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790
Practice Address - Country:US
Practice Address - Phone:860-496-0455
Practice Address - Fax:860-482-7513
Is Sole Proprietor?:No
Enumeration Date:2012-05-24
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILP02455207R00000X, 390200000X
CT390200000X
CT061438207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program