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NPI Code Detail

MEDICARE: MATTHEW OKEKE MD LTD

MEDICARE: MATTHEW OKEKE MD LTD
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1821378043
Entity Type Code : Organization
Provider Name (Legal Business Name) : MATTHEW OKEKE MD LTD
Provider Business Mailing Address
First Line : 2021 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3137
Country : US
Telephone Number : 702-202-0099
Fax Number : 702-778-7632
Provider Business Practice Location Address
First Line : 2021 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3137
Country : US
Telephone Number : 702-202-0099
Fax Number : 702-778-7632
Authorized Official
Title or Position : PRESIDENT
Name : MATTHEW O OKEKE
Credential : MD
Telephone Number : 702-202-0099
Provider Enumeration Date : 08/18/2011
Last Update Date : 09/15/2016

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