Provider Demographics
NPI:1871023036
Name:OKOYE, FIDEL CHIDI (RESPIRATORYTHERAPIST)
Entity Type:Individual
Prefix:
First Name:FIDEL
Middle Name:CHIDI
Last Name:OKOYE
Suffix:
Gender:M
Credentials:RESPIRATORYTHERAPIST
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:N/A
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RESPIRATORYTHERAPIST
Mailing Address - Street 1:5743 TIMBERRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48324-1475
Mailing Address - Country:US
Mailing Address - Phone:248-376-9014
Mailing Address - Fax:313-766-7957
Practice Address - Street 1:5743 TIMBERRIDGE DR
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48324-1475
Practice Address - Country:US
Practice Address - Phone:248-376-9014
Practice Address - Fax:313-766-7957
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH141502278E0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278E0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedEmergency Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI$$$$$$$$$Medicaid