Provider Demographics
NPI:1497105704
Name:UZO-OKEREKE, ADAKU MENNWA (MD)
Entity Type:Individual
Prefix:
First Name:ADAKU
Middle Name:MENNWA
Last Name:UZO-OKEREKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ADA
Other - Middle Name:MENNWA
Other - Last Name:UZO-OKEREKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-362-5000
Mailing Address - Fax:
Practice Address - Street 1:3 SAINT ELIZABETH BLVD STE 5000
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:IL
Practice Address - Zip Code:62269-1282
Practice Address - Country:US
Practice Address - Phone:618-641-5803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-16
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016018203207R00000X
FLME1633042084N0400X
IL0361556972084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine