Provider Demographics
NPI:1033566849
Name:OKWECHIME, REMI TOKUNBO (MD)
Entity Type:Individual
Prefix:DR
First Name:REMI
Middle Name:TOKUNBO
Last Name:OKWECHIME
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ADEREMI
Other - Middle Name:ADETOKUNBO
Other - Last Name:FATUYI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:ELMWOOD AVE BOX 278984
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-275-1200
Mailing Address - Fax:585-756-5189
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-6500
Practice Address - Country:US
Practice Address - Phone:585-275-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-21
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA313222207RC0200X
NY3118012084A2900X, 207RC0200X
390200000X
FLME151422207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Yes2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical Care
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program