Ndidi Ifeoma Okeke, MD

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

4301090720 Issued in MI

Practice address

12064 Ashton Ave
Detroit, MI 48228-1139

Phone

(313) 273-8372

NPI assigned

Jun 26, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ndidi Ifeoma Ntukogu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1306008875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12064 ASHTON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281139",
            "telephone_number": "313-273-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12064 ASHTON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281139",
            "telephone_number": "313-273-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEKE",
        "first_name": "NDIDI",
        "middle_name": "IFEOMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "MI",
            "license": "4301090720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NDIDI",
            "last_name": "NTUKOGU",
            "middle_name": "IFEOMA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Felix Okafor
• Ugochukwu Uzochukwu Okafor, MD
• Cynthia Oghenekome Okaruefe, M.D.
• Emmanuel Ayodele Oke Jr.
• Tochukwu Perpetua Okegbuson, MD
• Ngozi Michael Okelue
• Ikenna Chidume Okereke
• Jennifer Okereke
• Nnenna Okey
• Oluwatimilehin Olatomiwa Okeya, M.D.

• Prescribing (Medical) Psychologist in Detroit, MI
• Providers in Detroit, MI by specialty
• Prescribing (Medical) Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.