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NPI Code Detail

MEDICARE: MS. CHIOMA CHINWENDU VERA OKONS MD

MEDICARE: MS. CHIOMA CHINWENDU VERA OKONS 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1528700440
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHIOMA CHINWENDU VERA OKONS MD
Provider Business Mailing Address
First Line : 4815 JOHNSTON OEHLER RD STE 100
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-1065
Country : US
Telephone Number : 704-801-7310
Fax Number : 704-801-7780
Provider Business Practice Location Address
First Line : 4815 JOHNSTON OEHLER RD STE 100
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-1065
Country : US
Telephone Number : 704-801-7310
Fax Number : 704-801-7780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2022
Last Update Date : 01/14/2026

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