Provider Demographics
NPI:1912974437
Name:OKPALANMA, CHIKA (MD)
Entity Type:Individual
Prefix:DR
First Name:CHIKA
Middle Name:
Last Name:OKPALANMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1452 E GUN HILL RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-3037
Mailing Address - Country:US
Mailing Address - Phone:718-653-3711
Mailing Address - Fax:718-652-8492
Practice Address - Street 1:1452 E GUN HILL RD
Practice Address - Street 2:SUITE B
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-3037
Practice Address - Country:US
Practice Address - Phone:718-653-3711
Practice Address - Fax:718-652-8492
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1872812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01605238Medicaid
NY01605238Medicaid