Provider Demographics
NPI:1356889406
Name:GODSWILL O OKOJI MD INC.
Entity type:Organization
Organization Name:GODSWILL O OKOJI MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:Y
Authorized Official - Last Name:TOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-399-4400
Mailing Address - Street 1:1809 BENNING RD NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-7211
Mailing Address - Country:US
Mailing Address - Phone:202-399-4400
Mailing Address - Fax:202-388-4660
Practice Address - Street 1:1809 BENNING RD NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-7211
Practice Address - Country:US
Practice Address - Phone:202-399-4400
Practice Address - Fax:202-388-4660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD30509261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care