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NPI Code Detail

MEDICARE: CHRISTINE NWANNEKA OKWESILI MD

MEDICARE:   CHRISTINE NWANNEKA OKWESILI  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
1207R00000XInternal Medicine PhysicianD0084191MD
2207RB0002XObesity Medicine (Internal Medicine) PhysicianD0084191MD
3207RI0200XInfectious Disease PhysicianD0084191MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1D0084191OTHERMDMD PHYSICIAN LICENSE

General Provider Information

NPI Number : 1487073136
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE NWANNEKA OKWESILI MD
Provider Business Mailing Address
First Line : 7505 OSLER DR STE 214
Second Line :
City : TOWSON
State : MD
Zip : 21204-7738
Country : US
Telephone Number : 410-427-2588
Fax Number : 410-428-2587
Provider Business Practice Location Address
First Line : 7505 OSLER DR STE 214
Second Line :
City : TOWSON
State : MD
Zip : 21204-7738
Country : US
Telephone Number : 410-427-2588
Fax Number : 410-427-2587
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2014
Last Update Date : 01/15/2025

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Directions to “ CHRISTINE NWANNEKA OKWESILI MD” Practice Location

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