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NPI Code Detail

MEDICARE: VINCENT I OKEKE M.D.

MEDICARE:   VINCENT I OKEKE  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 PhysicianD0046312MD
2208M00000XHospitalist PhysicianD46312MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2J489-0006OTHERCAREFIRST- I CARE INC

General Provider Information

NPI Number : 1518961945
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINCENT I OKEKE M.D.
Provider Business Mailing Address
First Line : 8909 OLD BRANCH AVE
Second Line :
City : CLINTON
State : MD
Zip : 20735-2528
Country : US
Telephone Number : 301-868-7274
Fax Number : 301-868-0693
Provider Business Practice Location Address
First Line : 8909 OLD BRANCH AVE
Second Line :
City : CLINTON
State : MD
Zip : 20735-2528
Country : US
Telephone Number : 301-868-7274
Fax Number : 301-868-0693
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 09/19/2017

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Directions to “ VINCENT I OKEKE M.D.” Practice Location

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