Healthcare Provider Details

I. General information

NPI: 1275039869
Provider Name (Legal Business Name): ASHMEER OGBUCHI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHMEER CHIMA

II. Dates (important events)

Enumeration Date: 04/02/2018
Last Update Date: 10/03/2023
Certification Date: 10/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 POWERS FERRY RD SE OFC PARK
MARIETTA GA
30067-5491
US

IV. Provider business mailing address

880 GLENWOOD AVE SE UNIT 2547
ATLANTA GA
30316-1945
US

V. Phone/Fax

Practice location:
  • Phone: 678-336-6875
  • Fax:
Mailing address:
  • Phone: 770-852-0933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number89724
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: