Individual
GEOFFREY OKECHUKWU ONYEUKWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3814 GRANT STREET, GARY, IN 46408
(219) 884-3447
(219) 884-3512
Mailing address
3814 GRANT STREET, GARY, IN 46408
(219) 884-3447
(219) 884-3512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01043017A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200027940B
—
IN
Enumeration date
08/07/2006
Last updated
02/16/2022
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