Provider Demographics
NPI:1205500931
Name:UZOMA ANABA LLC
Entity type:Organization
Organization Name:UZOMA ANABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:UZOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANABA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-325-4450
Mailing Address - Street 1:2101 SHANNON OXMOOR RD # 270
Mailing Address - Street 2:
Mailing Address - City:SHANNON
Mailing Address - State:AL
Mailing Address - Zip Code:35142-2000
Mailing Address - Country:US
Mailing Address - Phone:205-880-7887
Mailing Address - Fax:205-894-7685
Practice Address - Street 1:3640 ALLEGRETTO CIR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-2537
Practice Address - Country:US
Practice Address - Phone:205-880-7887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-05
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty