Individual
DR. UGOCHI GENEVIEVE OKORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
11161 RANDOLPH ST, CROWN POINT, IN 46307-8564
(219) 662-9424
(219) 662-7465
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01064939A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000721921
ANTHEM TRADITIONAL
IN
05
—
200919390
—
IN
Enumeration date
03/15/2007
Last updated
08/18/2023
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