Provider Demographics
NPI:1891182820
Name:BOKA, EMEKA BENSON (MD)
Entity Type:Individual
Prefix:DR
First Name:EMEKA
Middle Name:BENSON
Last Name:BOKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:CHUKWUEMEKA
Other - Middle Name:CHINEDU
Other - Last Name:NWAJAGU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:99 WOODLAND ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-1207
Mailing Address - Country:US
Mailing Address - Phone:203-545-0144
Mailing Address - Fax:
Practice Address - Street 1:99 WOODLAND ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-1207
Practice Address - Country:US
Practice Address - Phone:203-545-0144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-16
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program