Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ITAUMA UDOSEN, DO
ActiveITAUMA UDOSEN, DO is a Sports Medicine healthcare provider located in LITHONIA, Georgia. NPI 1265793616 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · LITHONIA, GA
Registration Details
- NPI Number
- 1265793616
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 1, 2012 (14.158387409898 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
078910 (GA)78910 (GA)
Practice Information
- Address
-
2745 DEKALB MEDICAL PKWY STE 110LITHONIA, GA, 300584933Browse GA providers · Browse ZIP 30058
- Phone
- 7705932382
- Fax
- 6785142527
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
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.