Provider Demographics
NPI:1366553257
Name:EME-AKWARI, ANEDI GISELA (MD)
Entity type:Individual
Prefix:
First Name:ANEDI
Middle Name:GISELA
Last Name:EME-AKWARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANEDI
Other - Middle Name:GISELA
Other - Last Name:EME-AKWARI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2540 WINDY HILL RD SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-8605
Mailing Address - Country:US
Mailing Address - Phone:470-732-4022
Mailing Address - Fax:470-732-4023
Practice Address - Street 1:2540 WINDY HILL RD SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8605
Practice Address - Country:US
Practice Address - Phone:470-732-4022
Practice Address - Fax:470-732-4023
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA055671207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA431634632FMedicaid
GA431634632EMedicaid
GA431634632EMedicaid
GA202I116722Medicare PIN