Provider Demographics
NPI:1407380892
Name:OHADUGHA, ANAYO LINDA (MD)
Entity type:Individual
Prefix:DR
First Name:ANAYO
Middle Name:LINDA
Last Name:OHADUGHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1756 N BAYSHORE DR APT 18L
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-1147
Mailing Address - Country:US
Mailing Address - Phone:910-574-0402
Mailing Address - Fax:870-451-0460
Practice Address - Street 1:1009 NW 5TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-3212
Practice Address - Country:US
Practice Address - Phone:305-243-2951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-12
Last Update Date:2021-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC228135207Q00000X
FLME145439207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine