Provider Demographics
NPI:1841469756
Name:ORAEDU, LINDA IJEOMA (MD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:IJEOMA
Last Name:ORAEDU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:IJEOMA
Other - Middle Name:LINDA
Other - Last Name:ORAEDU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:9891 LEGENDS DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38139-6978
Mailing Address - Country:US
Mailing Address - Phone:901-212-1680
Mailing Address - Fax:
Practice Address - Street 1:3960 NEW COVINGTON PIKE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38128-2504
Practice Address - Country:US
Practice Address - Phone:901-516-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000031755207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H14055Medicare UPIN