Healthcare Provider Details

I. General information

NPI: 1003216375
Provider Name (Legal Business Name): OKAFOR MEDICAL ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2014
Last Update Date: 10/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7603 GEORGIA AVENUE, NW SUITE 100
WASHINGTON DC
20012-1630
US

IV. Provider business mailing address

7603 GEORGIA AVENUE, NW SUITE 100
WASHINGTON DC
20012-1630
US

V. Phone/Fax

Practice location:
  • Phone: 202-723-0498
  • Fax: 202-723-0268
Mailing address:
  • Phone: 202-723-0498
  • Fax: 202-723-0268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberL00004981111
License Number StateDC

VIII. Authorized Official

Name: NDUBUISI JOSEPH OKAFOR
Title or Position: PHYSICIAN/OWNER
Credential: M.D.
Phone: 202-723-0498