MEDICARE: EYIUCHE OKEKE MD

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
1	207R00000X	Internal Medicine Physician	226446	MA
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	226446	MA

General Provider Information

NPI Number	:	1275502890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EYIUCHE OKEKE MD

Provider Business Mailing Address
First Line	:	1 JOSLIN PL
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02215
Country	:	US
Telephone Number	:	617-732-2400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 JOSLIN PL
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02215-5306
Country	:	US
Telephone Number	:	617-732-2400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	01/24/2013

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