Provider Demographics
NPI:1073028536
Name:OKEH HEALTH GROUP, LLC
Entity Type:Organization
Organization Name:OKEH HEALTH GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:OKEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-897-7043
Mailing Address - Street 1:3719 CASTEEL PARK DR SW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-1692
Mailing Address - Country:US
Mailing Address - Phone:770-897-7043
Mailing Address - Fax:
Practice Address - Street 1:33 UPPER RIVERDALE RD SW
Practice Address - Street 2:17
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274
Practice Address - Country:US
Practice Address - Phone:770-897-7043
Practice Address - Fax:770-996-3529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty