Healthcare Provider Details

I. General information

NPI: 1851466684
Provider Name (Legal Business Name): EBELECHUKWU GLORIA ANYALECHI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GLORIA EBELECHUKWU ORAMASIONWU M.D.

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 CLIFTON RD NE
ATLANTA GA
30329-4018
US

IV. Provider business mailing address

4726 CEDAR WOOD DR SW
LILBURN GA
30047-4295
US

V. Phone/Fax

Practice location:
  • Phone: 404-639-1504
  • Fax:
Mailing address:
  • Phone: 404-400-1833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number64623
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number64623
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: