Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Azuka S Itabor, MD

Individual provider Family Medicine Physician · NPI 1164771374

Azuka S Itabor, MD is a Family Practice in Schenectady, New York. Qualified in 2008, 18 years ago. Practices with Ellis Hospital, a 252-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

624 McClellan St Ste 101
Schenectady, NY 12304-1020
Phone: (518) 382-2260
Fax: (518) 347-5007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 280483 (NY)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 280483 (NY)

Record details

NPI number1164771374
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 4, 2012
Last updated in NPPESJune 30, 2015
Mailing address624 McClellan St, Suite 101, Schenectady, NY 12304-1020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Ellis Hospital — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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