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 | 28 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 | 435 |
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 | |
Dr. Marchalee Caroldean Ellis, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2801 Dekalb Medical Pkwy, Lithonia, GA 30058 Phone: 404-501-8000 |