Provider Demographics
NPI:1346445368
Name:OBI-OKOYE, NWANNEM (MD)
Entity Type:Individual
Prefix:
First Name:NWANNEM
Middle Name:
Last Name:OBI-OKOYE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9200 FOREST ISLAND DR N
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-3668
Mailing Address - Country:US
Mailing Address - Phone:901-751-2740
Mailing Address - Fax:901-751-2868
Practice Address - Street 1:9200 FOREST ISLAND DR N
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-3668
Practice Address - Country:US
Practice Address - Phone:901-751-2740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29316207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine