# OKOLOCHA MEDICAL CORP.

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

## Provider details

- **NPI number:** 1902851330
- **Authorized official:** DR. PAUL CHIKE OKOLOCHA M.D. (PHYSICIAN)
- **Authorized official phone:** (219) 949-7540

## Contact information

- **Practice address:** 2054 GRANT ST, GARY, IN 46404-3060
- **Practice address phone:** (219) 949-7540
- **Practice address fax:** (219) 949-7545
- **Mailing address:** 1314 FITZGERALD DR, MUNSTER, IN 46321-4204
- **Mailing address phone:** (219) 922-4802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01041856 | IN | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 08/22/2020