MEDICARE: CHRISTOPHER GENE OKIISHI 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	2084P0800X	Psychiatry Physician	33257	IA
2	2084P0804X	Child & Adolescent Psychiatry Physician	33257	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598750432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER GENE OKIISHI MD

Provider Business Mailing Address
First Line	:	320 WEST CHERRY STREET
Second Line	:
City	:	NORTH LIBERTY
State	:	IA
Zip	:	52317
Country	:	US
Telephone Number	:	319-626-3300
Fax Number	:	319-626-3084

Provider Business Practice Location Address
First Line	:	320 WEST CHERRY STREET
Second Line	:
City	:	NORTH LIBERTY
State	:	IA
Zip	:	52317
Country	:	US
Telephone Number	:	319-626-3300
Fax Number	:	319-626-3084

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

Provider Enumeration Date	:	09/16/2005
Last Update Date	:	10/24/2013

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