Healthcare Provider Details

I. General information

NPI: 1558547349
Provider Name (Legal Business Name): GINETTE A OKOYE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GINETTE A HINDS M.D.

II. Dates (important events)

Enumeration Date: 01/11/2008
Last Update Date: 08/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 GEORGIA AVE NW
WASHINGTON DC
20060-0005
US

IV. Provider business mailing address

2041 GEORGIA AVE NW 2071
WASHINGTON DC
20060-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-865-6725
  • Fax:
Mailing address:
  • Phone: 202-865-6725
  • Fax: 202-865-1757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD046060
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberD69232
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: