Provider Demographics
NPI:1225708688
Name:OKONYA, OCHIJE
Entity Type:Individual
Prefix:MR
First Name:OCHIJE
Middle Name:
Last Name:OKONYA
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 1:400 W MIAMI ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74011-4841
Mailing Address - Country:US
Mailing Address - Phone:405-999-8665
Mailing Address - Fax:
Practice Address - Street 1:400 W MIAMI ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74011-4841
Practice Address - Country:US
Practice Address - Phone:405-999-8665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program