Provider Demographics
NPI:1003216375
Name:OKAFOR MEDICAL ASSOCIATES PLLC
Entity Type:Organization
Organization Name:OKAFOR MEDICAL ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NDUBUISI
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:OKAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-723-0498
Mailing Address - Street 1:7603 GEORGIA AVENUE, NW
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1630
Mailing Address - Country:US
Mailing Address - Phone:202-723-0498
Mailing Address - Fax:202-723-0268
Practice Address - Street 1:7603 GEORGIA AVENUE, NW
Practice Address - Street 2:SUITE 100
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1630
Practice Address - Country:US
Practice Address - Phone:202-723-0498
Practice Address - Fax:202-723-0268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-24
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCL00004981111261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center