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NPI Code Detail

MEDICARE: E'LEXUS OKAFOR

MEDICARE: E'LEXUS OKAFOR
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 Physician96618GA

General Provider Information

NPI Number : 1598384224
Entity Type Code : Individual
Provider Name (Legal Business Name) : E'LEXUS OKAFOR
Provider Business Mailing Address
First Line : 770 JUNIPER ST NE APT 1212
Second Line :
City : ATLANTA
State : GA
Zip : 30308-2198
Country : US
Telephone Number : 404-883-6461
Fax Number : 404-856-4865
Provider Business Practice Location Address
First Line : 315 UPPER RIVERDALE RD SW
Second Line :
City : RIVERDALE
State : GA
Zip : 30274-2500
Country : US
Telephone Number : 404-883-6461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2020
Last Update Date : 05/14/2026

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Directions to “ E'LEXUS OKAFOR ” Practice Location

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