MEDICARE: ANDA PSYCHIATRY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134618630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDA PSYCHIATRY PC

Provider Business Mailing Address
First Line	:	11805 CHIMNEY ROCK RD UNIT 310144
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77035-4411
Country	:	US
Telephone Number	:	478-216-6751
Fax Number	:	844-218-9369

Provider Business Practice Location Address
First Line	:	11805 CHIMNEY ROCK RD UNIT 310144
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77035-4411
Country	:	US
Telephone Number	:	478-216-6751
Fax Number	:	844-218-9369

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. ADAKU N NJOKU ANIMASHAUN
Credential	:	MD
Telephone Number	:	478-216-6751

Provider Enumeration Date	:	05/09/2018
Last Update Date	:	01/27/2025

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Directions to “ANDA PSYCHIATRY PC ” Practice Location

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