Provider Demographics
NPI:1144080862
Name:NJIKE, DIFFANG ELIAS
Entity type:Individual
Prefix:
First Name:DIFFANG
Middle Name:ELIAS
Last Name:NJIKE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2839 SETTLERS VIEW DR
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-3723
Mailing Address - Country:US
Mailing Address - Phone:240-413-6545
Mailing Address - Fax:
Practice Address - Street 1:2839 SETTLERS VIEW DR
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-3723
Practice Address - Country:US
Practice Address - Phone:240-413-6545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)