Individual
DR. OKECHUKWU EKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 HOSPITAL ST STE 105, PASCAGOULA, MS 39581-5308
(228) 769-2588
(228) 769-2589
Mailing address
4300 HOSPITAL ST STE 105, PASCAGOULA, MS 39581-5308
(228) 769-2588
(228) 769-2589
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13816
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009505210
ALACAID
MS
05
—
0114104
—
MS
01
—
106036700
USDOL
MS
01
—
110101525
MEDICARE RAILROAD
MS
Enumeration date
08/20/2006
Last updated
04/12/2024
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