Provider Demographics
NPI:1518377829
Name:OKOYE, STELLA IFEOMA (MD)
Entity Type:Individual
Prefix:DR
First Name:STELLA
Middle Name:IFEOMA
Last Name:OKOYE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:IFEOMA
Other - Middle Name:STELLA-MARIS
Other - Last Name:OLISAH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:201 BRIDGECREEK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-8911
Mailing Address - Country:US
Mailing Address - Phone:580-458-7545
Mailing Address - Fax:
Practice Address - Street 1:6439 GARNERS FERRY RD RM 5C129
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209-1638
Practice Address - Country:US
Practice Address - Phone:803-776-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-08
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC39110207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease