MEDICARE: PATRICIA OKOCHA 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	207R00000X	Internal Medicine Physician	35-080046	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740389410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA OKOCHA MD

Provider Business Mailing Address
First Line	:	2135 DANA AVE STE 400
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45207-1327
Country	:	US
Telephone Number	:	513-585-9500
Fax Number	:	513-585-9505

Provider Business Practice Location Address
First Line	:	3131 HARVEY AVE
Second Line	:	SUITE 104
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3000
Country	:	US
Telephone Number	:	513-585-9500
Fax Number	:	513-585-9505

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

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	08/09/2018

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Directions to “ PATRICIA OKOCHA MD” Practice Location

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