Provider Demographics
NPI:1275329682
Name:ANUDU, EDMUND ENYINNIA (MD)
Entity type:Individual
Prefix:DR
First Name:EDMUND
Middle Name:ENYINNIA
Last Name:ANUDU
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 S SARATOGA ST # 2
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-4800
Mailing Address - Country:US
Mailing Address - Phone:504-641-0516
Mailing Address - Fax:504-641-0516
Practice Address - Street 1:4301 W MARKHAM ST # 552
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7199
Practice Address - Country:US
Practice Address - Phone:501-686-5205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program