Individual
DR. IMO IME UKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 JOHNSON FERRY RD, RADIOLOGY DEPARTMENT, ATLANTA, GA 30342-1611
(404) 851-6323
Mailing address
60 11TH ST NE APT 2021, ATLANTA, GA 30309-4388
(973) 991-8514
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036160250
IL
2085R0202X
Diagnostic Radiology Physician
125.070625
IL
2085R0202X
Diagnostic Radiology Physician
Primary
96235
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2015
Last updated
07/14/2023
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