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NPI Code Detail

MEDICARE: OKE ADRIAN ANAKWENZE MD

MEDICARE: OKE ADRIAN ANAKWENZE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianMT190910PA
2207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianA126807CA

General Provider Information

NPI Number : 1043418759
Entity Type Code : Individual
Provider Name (Legal Business Name) : OKE ADRIAN ANAKWENZE MD
Provider Business Mailing Address
First Line : 3750 CONVOY ST 201
Second Line : OLYMPIC ORTHOPEDICS
City : SAN DIEGO
State : CA
Zip : 92111-3770
Country : US
Telephone Number : 858-300-2260
Fax Number : 858-569-1337
Provider Business Practice Location Address
First Line : 3750 CONVOY ST STE 201
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-3770
Country : US
Telephone Number : 858-300-2260
Fax Number : 858-300-2260
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2007
Last Update Date : 03/29/2018

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