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NPI Code Detail

MEDICARE: IFEANYI IOANA OKAM M.D

MEDICARE: IFEANYI IOANA OKAM M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD22130ME
2207R00000XInternal Medicine PhysicianMD487334PA

General Provider Information

NPI Number : 1134508518
Entity Type Code : Individual
Provider Name (Legal Business Name) : IFEANYI IOANA OKAM M.D
Provider Business Mailing Address
First Line : 3509 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-4105
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7600 CENTRAL AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-2442
Country : US
Telephone Number : 215-728-2275
Fax Number : 215-214-4119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2015
Last Update Date : 01/23/2026

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Directions to “ IFEANYI IOANA OKAM M.D” Practice Location

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