Healthcare Provider Details

I. General information

NPI: 1497945026
Provider Name (Legal Business Name): PATRICK OKWUDILI NJOKU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 11/08/2023
Certification Date: 11/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 NORTH BLVD STE 300
BATON ROUGE LA
70806-3743
US

IV. Provider business mailing address

PO BOX 65163
BATON ROUGE LA
70896-5163
US

V. Phone/Fax

Practice location:
  • Phone: 225-930-4517
  • Fax: 225-930-4519
Mailing address:
  • Phone: 225-930-4517
  • Fax: 225-930-4519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number35C.000418
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD.201009
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: