Provider Demographics
NPI:1356484083
Name:OKASI, CHETANNA I (MD)
Entity Type:Individual
Prefix:DR
First Name:CHETANNA
Middle Name:I
Last Name:OKASI
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 1:8900 COLUMBIA 100 PKWY STE E
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2336
Mailing Address - Country:US
Mailing Address - Phone:410-730-7722
Mailing Address - Fax:410-730-7725
Practice Address - Street 1:8900 COLUMBIA 100 PKWY STE E
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2336
Practice Address - Country:US
Practice Address - Phone:410-730-7722
Practice Address - Fax:410-730-7725
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0070939207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology