Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 13836 | NV |
NPI | 1063656585 |
---|---|
Provider Name | Chidi Okafor |
First Address | Las Vegas, NV 89106-4844 |
Second Address | Las Vegas, NV 89106-4844 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2009 |
Last Update Date | 27/12/2019 |