Provider Demographics
NPI:1063933356
Name:ILOKA, IKENNA BRYANT (MD)
Entity type:Individual
Prefix:DR
First Name:IKENNA
Middle Name:BRYANT
Last Name:ILOKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:IKE
Other - Middle Name:
Other - Last Name:ILOKA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4520 E WEST HWY STE 775
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-0066
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4520 E WEST HWY STE 775
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-0066
Practice Address - Country:US
Practice Address - Phone:667-222-0295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-28
Last Update Date:2025-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD490452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry