Provider Demographics
NPI:1245438878
Name:ANULIGO, NNEKA FEORA (MD)
Entity type:Individual
Prefix:
First Name:NNEKA
Middle Name:FEORA
Last Name:ANULIGO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 34538
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-4538
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9550 E GOLF LINKS RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85730-1400
Practice Address - Country:US
Practice Address - Phone:520-910-0207
Practice Address - Fax:855-576-4748
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV15159207R00000X
NVLL1768390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1245438878Medicaid
NV15159OtherSTATE LICENSE
NVLL1768OtherNV MEDICAL LICENSE
NV1245438878Medicaid
NVASO2532199368OtherNV BOARD OF PHARM