Individual
ASHANTI NEAL OKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4823 S LABURNUM AVE STE B, RICHMOND, VA 23231-2713
(804) 277-9631
(804) 336-2278
Mailing address
2306 VICTORIA CROSSING LN, MIDLOTHIAN, VA 23113-9679
(804) 380-2604
(804) 336-2278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101241370
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007639406
—
VA
01
—
C09633
GROUP PTAN
VA
Enumeration date
02/28/2007
Last updated
05/06/2024
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