MEDICARE: DR. ISIOMA CHINWENDU OKWUMABUA M.D.

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	207QG0300X	Geriatric Medicine (Family Medicine) Physician	070256	GA

Other Identifiers

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

General Provider Information

NPI Number	:	1942520192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ISIOMA CHINWENDU OKWUMABUA M.D.

Provider Business Mailing Address
First Line	:	720 WESTVIEW DR SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30310-1458
Country	:	US
Telephone Number	:	404-756-1400
Fax Number	:	404-756-1402

Provider Business Practice Location Address
First Line	:	1513 EAST CLEVELAND AVE
Second Line	:	BUILDING 500
City	:	EAST POINT
State	:	GA
Zip	:	30344-6949
Country	:	US
Telephone Number	:	404-752-1000
Fax Number	:	404-752-1191

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

Provider Enumeration Date	:	06/09/2010
Last Update Date	:	03/22/2022

Similar Medicare Providers

1649365644 — DR. DAVID JOSEPH MALEBRANCHE M.D., M.P.H
Practice Location Address:

1513 CLEVELAND AVE STE 500B
EAST POINT, GA
30344-6949

Practice Phone: 404-756-1241
Practice Fax: 404-756-1237

1548433428 — THE MOREHOUSE SCHOOL OF MEDICINE
Practice Location Address:

1513 CLEVELAND AVE STE 500
EAST POINT, GA
30344-6949

Practice Phone: 404-756-7230
Practice Fax: 404-752-8682

1669844494 — EMILY DEVINS
Practice Location Address:

6949 BRITTONFIELD PARKWAY
EAST SYRACUSE, NM
13057

Practice Phone: 315-634-6699
Practice Fax:

1740276328 — DR. ELVAN CATHERINE DANIELS MD,MPH
Practice Location Address:

1513 CLEVELAND AVE BLDG 500
ATLANTA, GA
30344-6949

Practice Phone: 404-752-1000
Practice Fax: 404-752-1229

1699977751 — DR. ANNE HAZEN GAGLIOTI M.D.
Practice Location Address:

1513 CLEVELAND AVE BLDG 500
ATLANTA, GA
30344-6949

Practice Phone: 404-752-1000
Practice Fax:

1285137927 — MOREHOUSE HEALTHCARE, INC.
Practice Location Address:

1513 CLEVELAND AVE STE 500B
ATLANTA, GA
30344-6949

Practice Phone: 404-756-1241
Practice Fax: 404-756-1237

Directions to “ DR. ISIOMA CHINWENDU OKWUMABUA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.