Healthcare Provider Details

I. General information

NPI: 1992135271
Provider Name (Legal Business Name): EJEMEH OKOJIE MD PA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2013
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7004 SECURITY BLVD SUITE 101
WINDSOR MILL MD
21244-2557
US

IV. Provider business mailing address

7004 SECURITY BLVD SUITE 101
WINDSOR MILL MD
21244-2557
US

V. Phone/Fax

Practice location:
  • Phone: 443-436-6033
  • Fax: 443-436-9214
Mailing address:
  • Phone: 443-436-6033
  • Fax: 443-436-9214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD53685
License Number StateMD

VIII. Authorized Official

Name: MS. IGUADE GODWIN OKOJIE
Title or Position: OWNER-PRESIDENT/CEO
Credential: MD
Phone: 410-409-0138