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NPI Code Detail

MEDICARE: GEORGE OKANG M.D.

MEDICARE: GEORGE OKANG M.D.
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
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianD0041248MD

Other Identifiers

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

General Provider Information

NPI Number : 1770573859
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE OKANG M.D.
Provider Business Mailing Address
First Line : 11809 CHAPEL WOODS CT
Second Line :
City : CLARKSVILLE
State : MD
Zip : 21029-1117
Country : US
Telephone Number : 301-565-2250
Fax Number :
Provider Business Practice Location Address
First Line : 8118 GOOD LUCK RD
Second Line :
City : LANHAM
State : MD
Zip : 20706-3574
Country : US
Telephone Number : 301-565-2250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2005
Last Update Date : 03/07/2017

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