Individual
AMARA OKOLI EMENIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1607 SAINT JAMES CT STE 1, TALLAHASSEE, FL 32308
(850) 878-8714
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P9674
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME140667
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
P9674
TX
208M00000X
Hospitalist Physician
P9674
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1T0268
MEDICARE
TX
05
—
336834201
—
TX
05
—
336834204
—
TX
01
—
8EK144
BCBS
TX
01
—
8FE668
BCBS
TX
01
—
8PD574
BCBS
TX
01
—
P01398050
RAILROAD MEDICARE
TX
Enumeration date
07/18/2010
Last updated
10/06/2022
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