| Mr Theodore O Anuebunwa, MD | |
|
2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 | |
| (404) 501-8492 | |
| Not Available |
| Full Name | Mr Theodore O Anuebunwa |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 2801 Dekalb Medical Pkwy, Lithonia, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740264951 | NPI | - | NPPES |
| 4560846 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 063757 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | 4301082889 (Michigan) | Secondary |
| 208M00000X | Hospitalist | 063757 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emory Hillandale Hospital | Lithonia, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emory Specialty Associates, Llc | 3476559782 | 675 |
| Entity Name | Emory Specialty Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Theodore O Anuebunwa, MD 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 Ph: (404) 501-8492 | Mr Theodore O Anuebunwa, MD 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 Ph: (404) 501-8492 |
Louis Lee, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 2801 Dekalb Medical Pkwy, Lithonia, GA 30058 Phone: 404-501-8492 Fax: 404-501-8645 | |
Gebeyaw Alemnew Shiferaw, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 2801 Dekalb Medical Pkwy, Lithonia, GA 30058 Phone: 404-501-8000 |