MEDICARE: NORIKO OKAHARA 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
1	207Q00000X	Family Medicine Physician	20A8573	CA
2	207Q00000X	Family Medicine Physician	05-31851	KS

General Provider Information

NPI Number	:	1275753600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORIKO OKAHARA D.O.

Provider Business Mailing Address
First Line	:	405 S CLAIRBORNE RD STE 2
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-1774
Country	:	US
Telephone Number	:	913-648-2266
Fax Number	:	855-634-9302

Provider Business Practice Location Address
First Line	:	407 S CLAIRBORNE RD STE 104
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-1744
Country	:	US
Telephone Number	:	913-648-2266
Fax Number	:	855-348-3430

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	06/03/2020

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Directions to “ NORIKO OKAHARA D.O.” Practice Location

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