Provider Demographics
NPI:1881799898
Name:OKIYE, STEPHEN (MD)
Entity type:Individual
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First Name:STEPHEN
Middle Name:
Last Name:OKIYE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:#9149 ESTATE THOMAS
Mailing Address - Street 2:PARAGON MEDICAL BUILDING SUITE 307
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9149 ESTATE THOMAS
Practice Address - Street 2:PARAGON BUILDING SUITE 307
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2687
Practice Address - Country:US
Practice Address - Phone:340-116-7714
Practice Address - Fax:340-777-4499
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2008-04-22
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Provider Licenses
StateLicense IDTaxonomies
VI684208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F52573Medicare UPIN