Provider Demographics
NPI:1922138700
Name:ANYANWU, UGONNA ADA (MD)
Entity Type:Individual
Prefix:DR
First Name:UGONNA
Middle Name:ADA
Last Name:ANYANWU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:UGONNA
Other - Middle Name:ADA
Other - Last Name:DURU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:801 GREEN VALLEY RD
Mailing Address - Street 2:THE WOMEN'S HOSPITAL OF GREENSBORO,DEPARTMENT OF OB/GYN
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-7021
Mailing Address - Country:US
Mailing Address - Phone:336-832-6873
Mailing Address - Fax:336-832-6647
Practice Address - Street 1:1635 HIGHWAY 66 SOUTH
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284
Practice Address - Country:US
Practice Address - Phone:336-992-5120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-00656207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology