Provider Demographics
NPI:1669578597
Name:OKOCHA, CHUKWUNONYELUANYI (MD)
Entity type:Individual
Prefix:DR
First Name:CHUKWUNONYELUANYI
Middle Name:
Last Name:OKOCHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NONYE
Other - Middle Name:
Other - Last Name:OKOCHA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2101 E JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4908
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:655 WATKINS MILL RD
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-3301
Practice Address - Country:US
Practice Address - Phone:703-359-7878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI49708207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIOKOCHCHUOtherMERCYCARE INSURANCE
WI34723000Medicaid
WIP00431224CD3624OtherRR MEDICARE
WI34723000Medicaid
IL$$$$$$$$$ 1Medicaid