Healthcare Provider Details

I. General information

NPI: 1316206816
Provider Name (Legal Business Name): ADAORA STEFANIA UZODI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2012
Last Update Date: 05/14/2021
Certification Date: 05/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 CONSTANTIN BLVD FL 4
BATON ROUGE LA
70809-3481
US

IV. Provider business mailing address

2051 SILVERSIDE DR SUITE 260
BATON ROUGE LA
70808-9005
US

V. Phone/Fax

Practice location:
  • Phone: 257-655-5002
  • Fax: 225-765-1202
Mailing address:
  • Phone: 225-490-6301
  • Fax: 225-765-9539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number106113
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number55812
License Number StateMN
# 3
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License NumberMD.208157
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: