Individual provider · NPI-1

Kanayo Radcliff Okeke-Eweni, MD

Family Medicine · Texarkana, AR

NPI number1144909748
StatusActive
Last updated in NPPESJul 15, 2024

Details

NPI
1144909748
Entity type
Individual (NPI-1)
Name
Kanayo Radcliff Okeke-Eweni
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 12, 2023
Certification date
Jul 8, 2024
Last updated
Jul 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineBP10090041TXYes
207R00000X Internal Medicine60-P122921-01NY

Practice location

3417 U Of A Way, Family Medical Center
Texarkana, AR 71854

Phone 870-779-6000

Mailing address

3808 Lake Arrowhead Dr
Harvey, LA 70058-5147

Phone 504-289-6675

Other practice locations

6970 Grand Central Pkwy
Forest Hills, NY 11375-3949

Phone 504-289-6675

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