Provider Demographics
NPI:1821174368
Name:OKPAKU, ANIRE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANIRE
Middle Name:
Last Name:OKPAKU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4300 N UNIVERSITY DR
Mailing Address - Street 2:A202
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6249
Mailing Address - Country:US
Mailing Address - Phone:954-749-3040
Mailing Address - Fax:954-749-3090
Practice Address - Street 1:4300 N UNIVERSITY DR
Practice Address - Street 2:A202
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-6249
Practice Address - Country:US
Practice Address - Phone:954-749-3040
Practice Address - Fax:954-749-3090
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME95013208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery