Provider Demographics
NPI:1932365913
Name:ARONU, OTITO NNEBUNDO (MD)
Entity Type:Individual
Prefix:DR
First Name:OTITO
Middle Name:NNEBUNDO
Last Name:ARONU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:OTITO
Other - Middle Name:NNEBUNDO
Other - Last Name:ANAKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:55 E 86TH AVE
Mailing Address - Street 2:ATTN DENISE ZABLOCKI
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-6382
Mailing Address - Country:US
Mailing Address - Phone:219-769-1670
Mailing Address - Fax:219-738-6714
Practice Address - Street 1:2269 W 25TH AVE
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46404-3367
Practice Address - Country:US
Practice Address - Phone:219-944-4187
Practice Address - Fax:219-944-4196
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01072649A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201184250Medicaid
IN198260025Medicare PIN