Individual
DR. SAMUEL OSIFO OKPAKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.PHD
Contact information
Practice address
1233 17TH AVE S, NASHVILLE, TN 37212-2801
(615) 329-4182
Mailing address
1233 17TH AVE S, NASHVILLE, TN 37212-2801
(615) 329-4182
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18327
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083151
BLUE CROSS
TN
05
—
3036819
—
TN
Enumeration date
07/24/2006
Last updated
02/03/2014
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