Okobah, Isioma Theresa

Okobah, Isioma Theresa is an individual health care provider with primary practice located at 2505 Panola Rd Suite A, Lithonia GA 30058-4831. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Okobah, Isioma Theresa can be contacted via phone (770) 323-6458.

Contact Information

Primary practice address
2505 Panola Rd Suite A Lithonia GA 30058-4831
Phone: (770) 323-6458
Fax: (770) 323-6462
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 056611 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 056611 Georgia

Profile Details

NPI number 1992797229
LBN Legal business name Okobah, Isioma Theresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Sep 14th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992797229 NPPES
Georgia MEDICAID 811209596A

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