Provider Demographics
NPI:1851438139
Name:OKOCHA, OBIANUJU (MD)
Entity Type:Individual
Prefix:
First Name:OBIANUJU
Middle Name:
Last Name:OKOCHA
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 1:12631 EAST 17TH AVENUE
Mailing Address - Street 2:AO18202
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045
Mailing Address - Country:US
Mailing Address - Phone:303-724-1751
Mailing Address - Fax:
Practice Address - Street 1:12631 E. 17TH AVE, AO1 8202
Practice Address - Street 2:UNIVERSITY OF COLORADO SCHOOL OF MEDICINE
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-0001
Practice Address - Country:US
Practice Address - Phone:303-724-1751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO46848207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology