Active NPIIndividual provider

Chiagoziem S Agu, 39020000X

Student in an Organized Health Care Education/Training Program in Atlanta, Georgia

NPI Number1023779048
Practice location
720 Westview Dr SW, Atlanta, GA 30310-1458
Fax
—
Last updated
March 20, 2024

Chiagoziem S Agu, 39020000X is a Student in an Organized Health Care Education/Training Program based in Atlanta, GA. Chiagoziem S Agu, 39020000X holds the professional credentials of 39020000X. The NPI number for Chiagoziem S Agu, 39020000X is 1023779048. The current practice location address is 720 Westview Dr SW, Atlanta, GA 30310-1458 and the office can be reached by phone at 404-752-1500. The NPI was assigned on January 2, 2022 and the record was last updated in NPPES on March 20, 2024.

●Provider Profile Details

NPI Number
1023779048
Provider Name
Chiagoziem Sylvester Agu
Credential
39020000X
Entity Type
Individual (Type 1 NPI)
Gender
Male
Sole Proprietor
No
Enumeration Date
January 2, 2022
Last Update Date
March 20, 2024
Certification Date
March 20, 2024
NPI Status
Active

◉Business Practice Location Address

Address
720 Westview Dr SW
Atlanta, GA 30310-1458
State
Georgia
ZIP
30310-1458
Country
US
Phone Number
404-752-1500

Get directions →

✉Business Mailing Address

Address
720 Westview Dr SW
Atlanta, GA 30310-1458
City
Atlanta
State
GA
ZIP
30310-1458
Phone Number
404-752-1500

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Student in an Organized Health Care Education/Training Program390200000XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Chiagoziem S Agu, 39020000X?

The NPI number of Chiagoziem S Agu, 39020000X is 1023779048. It was assigned on January 2, 2022 and is currently active in the NPPES registry.

What is the specialty of Chiagoziem S Agu, 39020000X?

Chiagoziem S Agu, 39020000X is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Chiagoziem S Agu, 39020000X practice?

The practice location is 720 Westview Dr SW, Atlanta, GA 30310-1458. The office can be reached at 404-752-1500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023779048 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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