Basic Information
| Provider Information | |||||||||
| NPI: | 1366095903 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OKPE | ||||||||
| FirstName: | ANDREW | ||||||||
| MiddleName: | AGADA | ||||||||
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| Credential: | MD, MRCP(UK) | ||||||||
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| Mailing Information | |||||||||
| Address1: | DEPARTMENT OF INTERNAL MEDICINE | ||||||||
| Address2: | 254 EASTON AVENUE | ||||||||
| City: | NEW BRUNSWICK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7327458600 | ||||||||
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| Practice Location | |||||||||
| Address1: | DEPARTMENT OF INTERNAL MEDICINE | ||||||||
| Address2: | 254 EASTON AVENUE | ||||||||
| City: | NEW BRUNSWICK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7327458600 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/23/2019 | ||||||||
| LastUpdateDate: | 07/23/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.