Healthcare Provider Details

I. General information

NPI: 1942663364
Provider Name (Legal Business Name): CHINEDU OBINNA OKEKE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2016
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 GEORGIA AVE NW
WASHINGTON DC
20060-1018
US

IV. Provider business mailing address

6445 AMERICA BLVD
HYATTSVILLE MD
20782-2386
US

V. Phone/Fax

Practice location:
  • Phone: 754-261-5599
  • Fax:
Mailing address:
  • Phone: 754-261-5599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME148534
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMTL60001614
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0101271636
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: