| NPI | 1295770436 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-06-19 |
| Last Updated | 2019-10-01 |
| Mailing Address | 5390 Dorchester Rd N Charleston, SC 29418-5652 United States Phone: (843) 552-3099 | Fax: (843) 552-3277 📍 View Map |
| Primary Practice Address | 5390 Dorchester Rd North Charleston, SC 29418-5652 United States Phone: (843) 552-3099 | Fax: (846) 559-9037 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | SC | 134323946 | BCBS of SC |
| MEDICAID | SC | T53518 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | SC | 21076 |
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About NPI 1295770436
Eni Clement Okonofua M.B.,B.S. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1295770436. The primary specialty listed is Internal Medicine. The provider is located in North Charleston, SC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1295770436?
NPI 1295770436 belongs to Eni Clement Okonofua M.B.,B.S., a Internal Medicine in North Charleston, SC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1295770436 active?
The current status of NPI 1295770436 in the NPPES registry is Active. The record was last updated on 2019-10-01.
What specialty is NPI 1295770436?
NPI 1295770436 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1295770436?
You can verify NPI 1295770436 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1295770436?
The primary practice address on file for NPI 1295770436 is 5390 Dorchester Rd, North Charleston, SC 29418-5652. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1295770436 issued?
NPI 1295770436 was first issued (enumerated) on 2006-06-19. The NPPES record was last updated on 2019-10-01.
Practice Location Map
Eni Clement Okonofua is located at 5390 Dorchester Rd, North Charleston, SC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Eni Clement Okonofua. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1295770436. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 21076 | SC |