Provider Demographics
NPI:1083842199
Name:OKEREKE, CHETACHI A (MD, MBBS)
Entity Type:Individual
Prefix:DR
First Name:CHETACHI
Middle Name:A
Last Name:OKEREKE
Suffix:
Gender:F
Credentials:MD, MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 SAN MIGUEL DR
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-8602
Mailing Address - Country:US
Mailing Address - Phone:925-280-9400
Mailing Address - Fax:
Practice Address - Street 1:1840 SAN MIGUEL DR
Practice Address - Street 2:SUITE 203
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-8602
Practice Address - Country:US
Practice Address - Phone:510-712-9968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-26
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA109220207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine