Individual provider · NPI-1
Dr. Ndubuisi D Ahuruonye, MD
Psychiatry & Neurology, Neurology · Marietta, GA
NPI number1467959494
StatusActive
Last updated in NPPESSep 12, 2025
Details
- NPI
- 1467959494
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ndubuisi D Ahuruonye
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 6, 2018
- Certification date
- Sep 12, 2025
- Last updated
- Sep 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | MD217388 | OR | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | 336619-01 | NY | |
| 2084N0400X | Psychiatry & Neurology, Neurology | 92017 | GA |
Practice location
677 Church St NeMarietta, GA 30060-1101
Phone 770-422-2326 · Fax 770-422-7797
Mailing address
677 Church St NeMarietta, GA 30060-1101
Phone 770-422-2326 · Fax 770-422-7797
Other practice locations
1364 Clifton Rd Ne
Atlanta, GA 30322-1059
Atlanta, GA 30322-1059
Phone 404-712-2000
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