Provider Demographics
NPI:1134168578
Name:OKEKE, IFEOMA ROSELINE (MD)
Entity type:Individual
Prefix:MRS
First Name:IFEOMA
Middle Name:ROSELINE
Last Name:OKEKE
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:2210 GREEN VALLEY ROAD
Mailing Address - Street 2:FLOYD MEMORIAL CANCER CENTER OF INDIANA
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150
Mailing Address - Country:US
Mailing Address - Phone:812-945-4000
Mailing Address - Fax:812-941-5714
Practice Address - Street 1:2210 GREEN VALLEY ROAD
Practice Address - Street 2:FLOYD MEMORIAL CANCER CENTER OF INDIANA
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150
Practice Address - Country:US
Practice Address - Phone:812-945-4000
Practice Address - Fax:812-941-5714
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01047487A207RH0003X
OH35-088183207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1841239274OtherPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH9338635OtherPARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH2767457Medicaid
IN200437820Medicaid
OH2551671OtherPARTNERS PHYSICIAN GROUP MEDICAID GROUP #
IN200437820Medicaid
OH2767457Medicaid