Provider Demographics
NPI:1144738147
Name:OKEADU, SAMUEL ARINZECHUWKU
Entity Type:Individual
Prefix:MR
First Name:SAMUEL
Middle Name:ARINZECHUWKU
Last Name:OKEADU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10203 GOLDENVIEW PARK LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-2185
Mailing Address - Country:US
Mailing Address - Phone:832-768-7626
Mailing Address - Fax:713-771-3113
Practice Address - Street 1:10203 GOLDENVIEW PARK LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-2185
Practice Address - Country:US
Practice Address - Phone:832-768-7626
Practice Address - Fax:713-771-3113
Is Sole Proprietor?:No
Enumeration Date:2018-01-12
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide