Provider Demographics
NPI:1770330607
Name:ANAEDOBE, CHINENYE GLORIA (MD)
Entity type:Individual
Prefix:
First Name:CHINENYE
Middle Name:GLORIA
Last Name:ANAEDOBE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHINENYE
Other - Middle Name:GLORIA
Other - Last Name:OKOYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:DANBURY HOSPITAL
Mailing Address - Street 2:24 HOSPITAL AVENUE
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-6099
Mailing Address - Country:US
Mailing Address - Phone:203-739-7855
Mailing Address - Fax:203-739-7855
Practice Address - Street 1:DANBURY HOSPITAL
Practice Address - Street 2:24 HOSPITAL AVENUE
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6099
Practice Address - Country:US
Practice Address - Phone:203-739-7855
Practice Address - Fax:203-739-7855
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-30
Last Update Date:2025-01-13
Deactivation Date:2024-12-31
Deactivation Code:
Reactivation Date:2025-01-10
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program