Dr Donatus Okechukwu Mbanefo, MD is a
General Practice physician based in East Point, Georgia. Dr Donatus Okechukwu Mbanefo is licensed to practice in Georgia (license number 069036) and his current practice location is 1029 Cleveland Ave, East Point, Georgia. He can be reached at his office (for appointments etc.) via phone at
(404) 791-3720.
NPI number for Dr Donatus Okechukwu Mbanefo is 1649511999 and his current mailing address is 70 Harlan St, #205, San Leandro, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649511999.
Physician's Profile
| Full Name | Dr Donatus Okechukwu Mbanefo |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 1029 Cleveland Ave, East Point, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649511999
- Provider Enumeration Date: 03/12/2013
- Last Update Date: 03/12/2013
Medical Identifiers
Medical identifiers for Dr Donatus Okechukwu Mbanefo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649511999 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 069036 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Donatus Okechukwu Mbanefo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Donatus Okechukwu Mbanefo, MD
70 Harlan St, #205,
San Leandro, CA 94577-5864
Ph: (510) 827-6643 | Dr Donatus Okechukwu Mbanefo, MD
1029 Cleveland Ave,
East Point, GA 30344-6719
Ph: (404) 791-3720 |
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