MEDICARE: CHRISTINE UCHENNA OKPALA 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
1	207V00000X	Obstetrics & Gynecology Physician	R-9696	IA
2	207V00000X	Obstetrics & Gynecology Physician	16051	NV
3	207VX0000X	Obstetrics Physician	01097627A	IN
4	207V00000X	Obstetrics & Gynecology Physician	MD70056619	WA
5	208M00000X	Hospitalist Physician	MD70056619	WA

General Provider Information

NPI Number	:	1457630675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE UCHENNA OKPALA MD

Provider Business Mailing Address
First Line	:	9260 W SUNSET RD STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4903
Country	:	US
Telephone Number	:	702-255-3547
Fax Number	:	702-921-2419

Provider Business Practice Location Address
First Line	:	9260 W. SUNSET RD.
Second Line	:	STE. 200
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4903
Country	:	US
Telephone Number	:	702-255-3547
Fax Number	:	702-921-2419

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

Provider Enumeration Date	:	08/04/2011
Last Update Date	:	05/28/2026

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