Chinedum Agoh

Individual provider Active NPI Home Health Aide · Riverdale, MD

NPI 1043679111 · NPPES record last updated Feb 18, 2016

Key facts

NPI
1043679111
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
5023 Riverdale Rd
Apt 301
Riverdale, MD 20737-1950
Phone
(301) 917-7381
NPI assigned
Feb 18, 2016
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X DC Yes

Addresses

Primary practice location

5023 Riverdale Rd
Apt 301
Riverdale, MD 20737-1950

Mailing address

5023 Riverdale Rd
Apt 301
Riverdale, MD 20737

Other providers in Riverdale, MD

All providers in Riverdale, MD · Home Health Aide in Maryland

Sources for this page

Verify at the official NPI Registry.