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NPI Code Detail

MEDICARE: DR. CALEB OKAFOR MOLOKWU D.O

MEDICARE: DR. CALEB OKAFOR MOLOKWU D.O
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
1390200000XStudent in an Organized Health Care Education/Training ProgramOH
2207Q00000XFamily Medicine Physician34.009701OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053573824
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CALEB OKAFOR MOLOKWU D.O
Provider Business Mailing Address
First Line : 1 PRESTIGE PL STE 550
Second Line :
City : MIAMISBURG
State : OH
Zip : 45342-6115
Country : US
Telephone Number : 937-762-1309
Fax Number : 937-522-8940
Provider Business Practice Location Address
First Line : 2555 CREEKWOOD CT
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45504-4056
Country : US
Telephone Number : 937-327-0552
Fax Number : 937-327-0556
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2008
Last Update Date : 01/12/2021

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