| Okolocha Medical Corp. | |
| 
					2054 Grant St Gary IN 46404-3060  | |
| (219) 949-7540 | |
| (219) 949-7545 | 
| Full Name | Okolocha Medical Corp. | 
|---|---|
| Speciality | Family Medicine | 
| Location | 2054 Grant St, Gary, Indiana | 
| Authorized Official Name and Position | Paul Chike Okolocha (PHYSICIAN) | 
| Authorized Official Contact | 2199497540 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Okolocha Medical Corp. 1314 Fitzgerald Dr Munster IN 46321-4204 Ph: (219) 922-4802  | Okolocha Medical Corp. 2054 Grant St Gary IN 46404-3060 Ph: (219) 949-7540  | 
| NPI Number | 1902851330 | 
|---|---|
| Provider Enumeration Date | 05/24/2006 | 
| Last Update Date | 08/22/2020 | 
| Medicare PECOS PAC ID | 5597794834 | 
|---|---|
| Medicare Enrollment ID | O20050808000530 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1902851330 | NPI | - | NPPES | 
| 000000285585 | Other | IN | BC/BS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 01041856 (Indiana) | Primary | 
| Provider Name | Paul C Okolocha | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1629193321 PECOS PAC ID: 2860421104 Enrollment ID: I20100522000064  | 
| Provider Name | Eunice Okolocha | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1578763447 PECOS PAC ID: 9032200761 Enrollment ID: I20111214000918  | 
| Provider Name | Sandra Renee Gates Manna | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1124396072 PECOS PAC ID: 0749431203 Enrollment ID: I20121108000643  | 
| Provider Name | Jeong Ho Ryu | 
|---|---|
| Provider Type | Practitioner - Neurology | 
| Provider Identifiers | NPI Number: 1730163189 PECOS PAC ID: 9436112679 Enrollment ID: I20150216001817  | 
| Provider Name | Lillian D Moore | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1447663398 PECOS PAC ID: 2860610193 Enrollment ID: I20161228000400  | 
| Provider Name | Syed S Kazmi | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1154640902 PECOS PAC ID: 7416020565 Enrollment ID: I20180129000549  | 
| Provider Name | Hanifa Waarith | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1205426723 PECOS PAC ID: 4789099052 Enrollment ID: I20210218001629  | 
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