Provider Demographics
NPI:1780424440
Name:OKEKE, CHIAMAKA JANE-PAMELA (MD)
Entity type:Individual
Prefix:MRS
First Name:CHIAMAKA
Middle Name:JANE-PAMELA
Last Name:OKEKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:CHIAMAKA
Other - Middle Name:JANE-PAMELA
Other - Last Name:OKORIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2401 GILLHAM ROAD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108
Mailing Address - Country:US
Mailing Address - Phone:816-269-8643
Mailing Address - Fax:
Practice Address - Street 1:2401 GILLHAM ROAD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108
Practice Address - Country:US
Practice Address - Phone:816-269-8643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-30
Last Update Date:2025-02-04
Deactivation Date:2025-01-14
Deactivation Code:
Reactivation Date:2025-02-04
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program