Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | 036137973 | IL |
Y | 207VE0102X | Reproductive Endocrinologist | 157295 | CA |
NPI | 1235429861 |
---|---|
Provider Name | Ijeoma Okeigwe |
First Address | Los Altos, CA 94022-1408 |
Second Address | Fremont, CA 94538 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2011 |
Last Update Date | 03/06/2020 |