Basic Information
Provider Information
NPI: 1316206816
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: UZODI
FirstName: ADAORA
MiddleName: STEFANIA
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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Mailing Information
Address1: 2051 SILVERSIDE DR
Address2: SUITE 260
City: BATON ROUGE
State: LA
PostalCode: 708089005
CountryCode: US
TelephoneNumber: 2254906301
FaxNumber: 2257659539
Practice Location
Address1: 8200 CONSTANTIN BLVD FL 4
Address2:  
City: BATON ROUGE
State: LA
PostalCode: 708093481
CountryCode: US
TelephoneNumber: 2576555002
FaxNumber: 2257651202
Other Information
ProviderEnumerationDate: 05/04/2012
LastUpdateDate: 05/14/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/14/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0208X55812MNN Allopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
2080P0208XMD.208157LAY Allopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
208000000X106113MNN Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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