Provider Demographics
NPI:1891182820
Name:BOKA, EMEKA BENSON (MD)
Entity type:Individual
Prefix:DR
First Name:EMEKA
Middle Name:BENSON
Last Name:BOKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:CHUKWUEMEKA
Other - Middle Name:CHINEDU
Other - Last Name:NWAJAGU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 44
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-0044
Mailing Address - Country:US
Mailing Address - Phone:856-895-1327
Mailing Address - Fax:
Practice Address - Street 1:722 E BUTLER PIKE
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-2310
Practice Address - Country:US
Practice Address - Phone:215-643-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-16
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAMD4862092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program