Individual provider · NPI-1

Dr. Theodora Chidera Abah, MD

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number1003589193
StatusActive
Last updated in NPPESAug 16, 2025

Details

NPI
1003589193
Entity type
Individual (NPI-1)
Name
Dr. Theodora Chidera Abah
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 26, 2021
Certification date
Aug 16, 2025
Last updated
Aug 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

720 Westview Dr Sw
Atlanta, GA 30310-1458

Phone 404-752-1400

Mailing address

720 Westview Dr Sw
Atlanta, GA 30310-1458

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