Ugochi Chizuorom Abazie, M.D
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Riverdale, GA
NPI 1700634870 · NPPES record last updated Aug 15, 2025
Key facts
- NPI
- 1700634870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 11 Upper Riverdale Road SW
Riverdale, GA 30274 - Phone
- (770) 991-8026
- Fax
- (773) 257-6027
- NPI assigned
- May 13, 2024
- Reactivated
- Aug 14, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125083174 | IL | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125083174 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
11 Upper Riverdale Road SW
Riverdale, GA 30274
Mailing address
11 Upper Riverdale Road SW
Riverdale, GA 30274
Phone (770) 991-8026
Other names
- Miss Ugochi Chizuorom Okereke
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All providers in Riverdale, GA · Student in an Organized Health Care Education/Training Program in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.