Provider Demographics
NPI:1851466684
Name:ANYALECHI, EBELECHUKWU GLORIA (MD)
Entity Type:Individual
Prefix:
First Name:EBELECHUKWU
Middle Name:GLORIA
Last Name:ANYALECHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GLORIA
Other - Middle Name:EBELECHUKWU
Other - Last Name:ORAMASIONWU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:209 VALLEYBROOK XING
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-5846
Mailing Address - Country:US
Mailing Address - Phone:404-806-9635
Mailing Address - Fax:
Practice Address - Street 1:209 VALLEYBROOK XING
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-5846
Practice Address - Country:US
Practice Address - Phone:404-806-9635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD64770208000000X
GA646232080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases