| Ejine Okoroafor M D Ltd | |
|
6765 W Charleston Blvd Ste 110 Las Vegas NV 89146-2001 | |
| (702) 380-8200 | |
| Not Available |
| Full Name | Ejine Okoroafor M D Ltd |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6765 W Charleston Blvd Ste 110, Las Vegas, Nevada |
| Authorized Official Name and Position | Ejine Okoroafor (PRESIDENT) |
| Authorized Official Contact | 7022563637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ejine Okoroafor M D Ltd 5440 W Sahara Ave Suite 202 Las Vegas NV 89146-0355 Ph: (702) 380-8200 | Ejine Okoroafor M D Ltd 6765 W Charleston Blvd Ste 110 Las Vegas NV 89146-2001 Ph: (702) 380-8200 |
| NPI Number | 1689069585 |
|---|---|
| Provider Enumeration Date | 03/30/2015 |
| Last Update Date | 05/23/2023 |
| Certification Date | 05/23/2023 |
| Medicare PECOS PAC ID | 8921310616 |
|---|---|
| Medicare Enrollment ID | O20150709000934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689069585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 15734 (Nevada) | Primary |
| Provider Name | Ejine Okoroafor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003164377 PECOS PAC ID: 6800113812 Enrollment ID: I20150709001025 |
| Provider Name | Chika Philo Okechukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306290150 PECOS PAC ID: 2668738162 Enrollment ID: I20171116002234 |
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