Provider Demographics
NPI:1366550709
Name:NWAOKAFOR, FELIX C (MD)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:C
Last Name:NWAOKAFOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6238 ARBOR GLEN CT
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-5946
Mailing Address - Country:US
Mailing Address - Phone:440-349-3623
Mailing Address - Fax:
Practice Address - Street 1:15900 SNOW RD
Practice Address - Street 2:
Practice Address - City:BROOKPARK
Practice Address - State:OH
Practice Address - Zip Code:44142-2859
Practice Address - Country:US
Practice Address - Phone:216-553-5080
Practice Address - Fax:216-553-5081
Is Sole Proprietor?:No
Enumeration Date:2006-08-27
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH082576207R00000X
OH35-082576207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000358942OtherANTHEM
OH2414195Medicaid
OHH88516Medicare UPIN
OH2414195Medicaid