Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDORENYIN EKA-IMO NDEM, MD
Active Sole ProprietorIDORENYIN EKA-IMO NDEM, MD is a Plastic and Reconstructive Surgery healthcare provider located in ATLANTA, Georgia. NPI 1154811958 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · ATLANTA, GA
Registration Details
- NPI Number
- 1154811958
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2018 (8.2653279676621 yrs)
- Last Updated
- Jul 8, 2024
- Licenses
-
238506 (NC)100641 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1001 JOHNSON FERRY RDATLANTA, GA, 303421605Browse GA providers · Browse ZIP 30342
- Phone
- 4047857792
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
- Additional Specialty
- Plastic and Reconstructive Surgery
Other Plastic and Reconstructive Surgery Providers in ATLANTA, GA
| Name | Credential | NPI |
|---|---|---|
| DR. KRISTIN A BOEHM | M.D. | 1093713208 |
| DR. GRACE YU-CHUN MA | M. D. | 1992707335 |
| JOSEPH WILLIAMS | MD | 1609858760 |
| FERNANDO D BURSTEIN | M.D. | 1891777074 |
| JAMES D NAMNOUM | M.D. | 1801878939 |
| PHILIP H BEEGLE JR. | M.D. | 1326020231 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.