MEDICARE: DR. ADAKU NWAKEGO NJOKU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	4301502192	MI
2	2084P0800X	Psychiatry Physician	007403	GA
3	2084P0800X	Psychiatry Physician	T3350	TX

General Provider Information

NPI Number	:	1164682431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAKU NWAKEGO NJOKU MD

Provider Business Mailing Address
First Line	:	11805 CHIMNEY ROCK RD UNIT 310144
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77035-4411
Country	:	US
Telephone Number	:	478-216-6751
Fax Number	:	844-218-9369

Provider Business Practice Location Address
First Line	:	11805 CHIMNEY ROCK RD UNIT 310144
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77035-4411
Country	:	US
Telephone Number	:	478-216-6751
Fax Number	:	844-218-9369

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2008
Last Update Date	:	05/25/2025

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