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NPI Code Detail

MEDICARE: CHUKWUDI BATO AMU MD

MEDICARE:   CHUKWUDI BATO AMU  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
1207R00000XInternal Medicine Physician026967GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1582278915OTHERGATAX ID
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639179211
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHUKWUDI BATO AMU MD
Provider Business Mailing Address
First Line : 5526 OLD NATIONAL HWY
Second Line : SUITE B, BLDG J
City : ATLANTA
State : GA
Zip : 30349-3249
Country : US
Telephone Number : 404-766-6001
Fax Number : 678-904-2769
Provider Business Practice Location Address
First Line : 5526 OLD NATIONAL HWY
Second Line : SUITE B, BLDG J
City : ATLANTA
State : GA
Zip : 30349-3249
Country : US
Telephone Number : 404-766-6001
Fax Number : 678-904-2769
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 07/21/2022

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Directions to “ CHUKWUDI BATO AMU MD” Practice Location

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