Organization
EMMANUEL OKECHUKWU MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL I OKECHUKWU MD (PRESIDENT)
(702) 210-2763
Entity
Organization
Contact information
Practice address
11870 TEVARE LN UNIT 2084, LAS VEGAS, NV 89138-6505
(702) 210-2763
Mailing address
11870 TEVARE LN UNIT 2084, LAS VEGAS, NV 89138-6505
(702) 210-2763
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/12/2007
Last updated
05/15/2020
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