Healthcare Provider Details

I. General information

NPI: 1508397191
Provider Name (Legal Business Name): NNENNA C. OKOYE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2017
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 MARKET ST
SAN FRANCISCO CA
94103-1546
US

IV. Provider business mailing address

1145 MARKET ST
SAN FRANCISCO CA
94103-1546
US

V. Phone/Fax

Practice location:
  • Phone: 415-877-6495
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberA159398
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License NumberA159398
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: