Organization
CHINYERE OKEKE MD LTD
Active
Other names
Grand Desert Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHINYERE L OKEKE MD (PRESIDENT/ PHYSICIAN)
(702) 202-0099
Entity
Organization
Contact information
Practice address
2001 S RAINBOW BLVD, SUITE 130, LAS VEGAS, NV 89146-2990
(702) 202-0099
(702) 778-7632
Mailing address
PO BOX 400997, LAS VEGAS, NV 89140-0997
(702) 202-0099
(702) 778-7632
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14416
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255562880
INDIVIDUAL NPI
NV
05
—
1255562880
—
NV
Enumeration date
09/30/2013
Last updated
09/30/2013
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