Provider Demographics
NPI:1972910982
Name:OPARAKU, CHUKWUDI
Entity Type:Individual
Prefix:
First Name:CHUKWUDI
Middle Name:
Last Name:OPARAKU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1609 GREENBRIAR PL
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-7640
Mailing Address - Country:US
Mailing Address - Phone:405-735-3683
Mailing Address - Fax:405-735-3524
Practice Address - Street 1:1609 GREENBRIAR PL
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-7640
Practice Address - Country:US
Practice Address - Phone:405-735-3683
Practice Address - Fax:405-735-3524
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-22
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health