Healthcare Provider Details

I. General information

NPI: 1164873071
Provider Name (Legal Business Name): OSCAR KWAKU OKYERE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2016
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 HEALTH CAMPUS DR
ROCKINGHAM VA
22801-8679
US

IV. Provider business mailing address

2041 GEORGIA AVENUE NW HOWARD UNIVERSITY HOSPITAL
WASHINGTON DC
20060
US

V. Phone/Fax

Practice location:
  • Phone: 540-689-1110
  • Fax:
Mailing address:
  • Phone: 804-370-4942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101285658
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number26970
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: