Provider Demographics
NPI:1538757885
Name:ADOH, EZEKIEL
Entity type:Individual
Prefix:
First Name:EZEKIEL
Middle Name:
Last Name:ADOH
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 1:7421 LEAHY RD
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3661
Mailing Address - Country:US
Mailing Address - Phone:240-758-1696
Mailing Address - Fax:
Practice Address - Street 1:2339 25TH ST SE APT 104
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-3434
Practice Address - Country:US
Practice Address - Phone:202-906-9612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant