Agbogu, Bob
Agbogu, Bob is an sole proprietor health care provider with primary practice located at 1136 Cleveland Ave Ste 305, East Point GA 30344-3618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Agbogu, Bob can be contacted via phone (404) 669-9669.Contact Information
Primary practice address
1136 Cleveland Ave Ste 305
East Point GA 30344-3618
Phone: (404) 669-9669
Fax: (404) 699-9668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 043839 | Georgia |
Profile Details
| NPI number | 1457317307 |
|---|---|
| LBN Legal business name | Agbogu, Bob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Oct 9th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457317307 | NPPES |
| Georgia | MEDICAID | 00789456A |
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