Individual
OSITA E. OKPALAOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5801 TAMARACK BLVD, COLUMBUS, OH 43229-3747
(614) 436-6009
(614) 436-6011
Mailing address
580 BANBRIDGE ST, PICKERINGTON, OH 43147-2095
(614) 920-2181
(614) 920-2182
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-08-0654-0
OH
207R00000X
Internal Medicine Physician
35-08-0654
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2292951
—
OH
01
—
5619197341C1R
BLUECROSS BLUESHIELD
OH
Enumeration date
01/24/2006
Last updated
03/06/2015
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