Basic Information
| Provider Information | |||||||||
| NPI: | 1982920831 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OKORIE | ||||||||
| FirstName: | CAROLINE | ||||||||
| MiddleName: | UCHECHI ADANMA | ||||||||
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| Credential: | MD, MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 770 WELCH RD STE 350 | ||||||||
| Address2: | |||||||||
| City: | PALO ALTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 943041523 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4802275119 | ||||||||
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| Practice Location | |||||||||
| Address1: | 770 WELCH RD STE 350 | ||||||||
| Address2: | |||||||||
| City: | PALO ALTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 943041523 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6507238325 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2010 | ||||||||
| LastUpdateDate: | 05/01/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 2080P0214X | A129777 | CA | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Pulmonology | 208000000X | MD158489 | OR | N | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.