| Emmanuel Okechukwu Md Pc | |
|
11870 Tevare Ln Unit 2084 Las Vegas NV 89138-6505 | |
| (702) 210-2763 | |
| Not Available |
| Full Name | Emmanuel Okechukwu Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11870 Tevare Ln Unit 2084, Las Vegas, Nevada |
| Authorized Official Name and Position | Emmanuel I Okechukwu (PRESIDENT) |
| Authorized Official Contact | 7022102763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmanuel Okechukwu Md Pc 11870 Tevare Ln Unit 2084 Las Vegas NV 89138-6505 Ph: (702) 210-2763 | Emmanuel Okechukwu Md Pc 11870 Tevare Ln Unit 2084 Las Vegas NV 89138-6505 Ph: (702) 210-2763 |
| NPI Number | 1497897128 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 05/15/2020 |
| Medicare PECOS PAC ID | 8224134762 |
|---|---|
| Medicare Enrollment ID | O20070430000669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497897128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Emmanuel Okechukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023066958 PECOS PAC ID: 1850384850 Enrollment ID: I20060403000327 |
| 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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