Provider Demographics
NPI:1952978181
Name:OKAFO, UCHENNA NNAMDI (MBBS, MRCSI, FRCSI)
Entity type:Individual
Prefix:DR
First Name:UCHENNA
Middle Name:NNAMDI
Last Name:OKAFO
Suffix:
Gender:M
Credentials:MBBS, MRCSI, FRCSI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 BAKER AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1385
Mailing Address - Country:US
Mailing Address - Phone:845-483-5951
Mailing Address - Fax:845-483-5775
Practice Address - Street 1:19 BAKER AVE
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1359
Practice Address - Country:US
Practice Address - Phone:845-483-5951
Practice Address - Fax:845-483-5775
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-07
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN74948207T00000X
MN32163390200000X
NY331751207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program