Individual
OKPANI MARTIN NNACHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-0073
(304) 831-0076
Mailing address
PO BOX 117, LOGAN, WV 25601-0117
(304) 831-0073
(304) 831-0076
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21990
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810002816
—
WV
Enumeration date
12/06/2005
Last updated
07/02/2008
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