Individual
OKEY JUSTIN OPARANAKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5105 CAMINO AL NORTE, NORTH LAS VEGAS, NV 89031-2373
(702) 750-2173
(702) 750-2173
Mailing address
5105 CAMINO AL NORTE, NORTH LAS VEGAS, NV 89031-2373
(702) 750-2173
(702) 750-2173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101244164
VA
207R00000X
Internal Medicine Physician
250282
NY
207RR0500X
Rheumatology Physician
Primary
15157
NV
207RR0500X
Rheumatology Physician
44562
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588822936
—
NV
01
—
44562
LICENSE
AZ
Enumeration date
05/31/2008
Last updated
03/24/2015
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