MEDICARE: AMAKA ANULI AKALONU MD

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	208000000X	Pediatrics Physician	P6564	TX
2	208000000X	Pediatrics Physician	C70005547	DE
3	2080P0206X	Pediatric Gastroenterology Physician	P6564	TX

General Provider Information

NPI Number	:	1467771931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMAKA ANULI AKALONU MD

Provider Business Mailing Address
First Line	:	7790 W GRAND PKWY S STE 102
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-5830
Country	:	US
Telephone Number	:	832-553-0700
Fax Number	:	832-345-5771

Provider Business Practice Location Address
First Line	:	7790 W GRAND PKWY S STE 102
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-5830
Country	:	US
Telephone Number	:	832-553-0700
Fax Number	:	832-345-5771

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2010
Last Update Date	:	06/23/2026

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