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NPI Code Detail

MEDICARE: CHIMEZIE C OKOLOCHA DO

MEDICARE: CHIMEZIE C OKOLOCHA DO
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
12084P0800XPsychiatry Physician02009143AIN
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1205575818
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHIMEZIE C OKOLOCHA DO
Provider Business Mailing Address
First Line : 1314 FITZGERALD DR
Second Line :
City : MUNSTER
State : IN
Zip : 46321-4204
Country : US
Telephone Number : 219-789-6522
Fax Number :
Provider Business Practice Location Address
First Line : 4502 E 41ST ST
Second Line :
City : TULSA
State : OK
Zip : 74135-2536
Country : US
Telephone Number : 918-660-3518
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2022
Last Update Date : 06/11/2026

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Directions to “ CHIMEZIE C OKOLOCHA DO” Practice Location

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