Basic Information
Provider Information
NPI: 1407925324
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OKPALA
FirstName: OGOCHUKWU
MiddleName: A.
NamePrefix:  
NameSuffix:  
Credential: MD, MPH, FACOG
OtherOrganizationName:  
OtherOrganizationType:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1633 SUGAR HILL RD
Address2: SUITE 1
City: MARION
State: NC
PostalCode: 287525239
CountryCode: US
TelephoneNumber: 8286593621
FaxNumber:  
Practice Location
Address1: 117 W MEDICAL CT
Address2:  
City: MARION
State: NC
PostalCode: 287525590
CountryCode: US
TelephoneNumber: 8286593966
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/07/2006
LastUpdateDate: 08/31/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/31/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X2013-02466NCN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000XTP247KYN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000X218822MAN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000X54045KYN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000XC1-0010009DEN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
2084A0401X2013-02466NCN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
207V00000X54046KYY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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