Provider Demographics
NPI:1104389196
Name:OKAFOR, CHUKWUEMEKA JAMES (MBBS)
Entity Type:Individual
Prefix:
First Name:CHUKWUEMEKA
Middle Name:JAMES
Last Name:OKAFOR
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2009 RUBY TURN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-1895
Mailing Address - Country:US
Mailing Address - Phone:240-906-2595
Mailing Address - Fax:
Practice Address - Street 1:15059 N SCOTTSDALE RD STE 600
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-2685
Practice Address - Country:US
Practice Address - Phone:602-778-3601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-08
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PANA207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine