Provider Demographics
NPI:1164785838
Name:NDUKWU, EMEKA
Entity type:Individual
Prefix:
First Name:EMEKA
Middle Name:
Last Name:NDUKWU
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 1:6514 GREENFIELD CT
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3556
Mailing Address - Country:US
Mailing Address - Phone:202-934-1278
Mailing Address - Fax:
Practice Address - Street 1:6514 GREENFIELD CT
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3556
Practice Address - Country:US
Practice Address - Phone:202-934-1278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide