Healthcare Provider Details

I. General information

NPI: 1649069352
Provider Name (Legal Business Name): NKIRU UCHE OKONKWO M.B.B.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NKIRU UCHE OKAFOR M.B.B.S

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 05/01/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE. NW
WASHINGTON DC
20010
US

IV. Provider business mailing address

111 MICHIGAN AVE. NW
WASHINGTON DC
20010
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-5000
  • Fax:
Mailing address:
  • Phone: 202-476-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: