Provider Demographics
NPI:1487073136
Name:OKWESILI, CHRISTINE NWANNEKA (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:NWANNEKA
Last Name:OKWESILI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7505 OSLER DR STE 214
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7738
Mailing Address - Country:US
Mailing Address - Phone:410-427-2588
Mailing Address - Fax:410-428-2587
Practice Address - Street 1:7505 OSLER DR STE 214
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7738
Practice Address - Country:US
Practice Address - Phone:410-427-2588
Practice Address - Fax:410-427-2587
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-09
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0084191207R00000X, 207RB0002X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD0084191OtherMD PHYSICIAN LICENSE