Provider Demographics
NPI:1700145836
Name:EKEJI, KATHERINA I (MD)
Entity type:Individual
Prefix:DR
First Name:KATHERINA
Middle Name:I
Last Name:EKEJI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3400C OLD MILTON PARKWAY
Mailing Address - Street 2:SUITE 270
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005
Mailing Address - Country:US
Mailing Address - Phone:770-442-1911
Mailing Address - Fax:770-663-8905
Practice Address - Street 1:3400C OLD MILTON PARKWAY
Practice Address - Street 2:270
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005
Practice Address - Country:US
Practice Address - Phone:770-442-1911
Practice Address - Fax:770-663-8905
Is Sole Proprietor?:No
Enumeration Date:2012-05-09
Last Update Date:2014-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL125-058772207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine