Okoli, Alphonsus Eziagwu

Okoli, Alphonsus Eziagwu is an individual health care provider with primary practice located at 6201 Greenbelt Road Suite U-6, College Park MD 20740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Okoli, Alphonsus Eziagwu can be contacted via phone (240) 542-4850.

Contact Information

Primary practice address
6201 Greenbelt Road Suite U-6 College Park MD 20740
Fax: (240) 965-7311
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0073032 Maryland

Profile Details

NPI number 1437203619
LBN Legal business name Okoli, Alphonsus Eziagwu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Feb 18th, 2013 - about 12 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 1437203619 NPPES
North Carolina MEDICAID 8964109

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