# OKAY HAROLD ODOCHA MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679875926
- **Authorized official:** DR. OKAY HAROLD ODOCHA MD (OWNER)
- **Authorized official phone:** (575) 956-6633

## Contact information

- **Practice address:** 1302 E 32ND ST STE A, SILVER CITY, NM 88061-7215
- **Practice address phone:** (575) 956-6633
- **Practice address fax:** (575) 956-6615
- **Mailing address:** 1302 E 32ND ST STE A, SILVER CITY, NM 88061-7215
- **Mailing address phone:** (575) 956-6633
- **Mailing address fax:** (575) 956-6615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD2009-0004 | NM | Yes |

## Other

- **Enumeration date:** 11/18/2010
- **Last updated:** 11/30/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 67602789 | — | NM |
| 01 | — | DX4563 | MEDICARE RAILROAD PTAN | NM |
| 01 | — | NM301789 | MEDICARE PTAN | NM |