Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | 01052093 | IN |
N | 2080N0001X | Neonatal-Perinatal Doctor | 036081075 | IL |
N | 2080N0001X | Neonatal-Perinatal Doctor | 04-28623 | KS |
N | 2080N0001X | Neonatal-Perinatal Doctor | 14090 | MS |
N | 2080N0001X | Neonatal-Perinatal Doctor | 16260 | NV |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 2002008837 | MO |
N | 2080N0001X | Neonatal-Perinatal Doctor | 35-061863 | OH |
N | 2080N0001X | Neonatal-Perinatal Doctor | D0052584 | MD |
NPI | 1134185382 |
---|---|
Provider Name | Dr. Felix A Okah |
First Address | Fort Wayne, IN 46804-4140 |
Second Address | Fort Wayne, IN 46804-4140 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 11/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01052093C | CSR (01) | IN |
100361890C | (05) | KS |
205105737 | (05) | MO |
F92655 | (02) | MO |