Provider Demographics
NPI:1538903083
Name:TEKE, MUKEM EMMANUEL
Entity type:Individual
Prefix:
First Name:MUKEM
Middle Name:EMMANUEL
Last Name:TEKE
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 1:1223 CHILLUM RD
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-2237
Mailing Address - Country:US
Mailing Address - Phone:202-270-0692
Mailing Address - Fax:
Practice Address - Street 1:1223 CHILLUM RD
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-2237
Practice Address - Country:US
Practice Address - Phone:202-270-0692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide