Provider Demographics
NPI:1477655959
Name:OKAFOR, EMMANUEL CHUJEKWU (MD)
Entity Type:Individual
Prefix:DR
First Name:EMMANUEL
Middle Name:CHUJEKWU
Last Name:OKAFOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6847 N CHESTNUT ST STE 210
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-3929
Mailing Address - Country:US
Mailing Address - Phone:330-297-6060
Mailing Address - Fax:216-201-7846
Practice Address - Street 1:6847 N CHESTNUT ST STE 210
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-3929
Practice Address - Country:US
Practice Address - Phone:330-297-6060
Practice Address - Fax:216-201-7846
Is Sole Proprietor?:No
Enumeration Date:2006-09-03
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35 - 55637207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0711180Medicaid
OHA83086Medicare UPIN
OHOK0618948Medicare ID - Type Unspecified