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NPI Code Detail

MEDICARE: MUKEM EMMANUEL TEKE

MEDICARE: MUKEM EMMANUEL TEKE
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1538903083
Entity Type Code : Individual
Provider Name (Legal Business Name) : MUKEM EMMANUEL TEKE
Provider Business Mailing Address
First Line : 1223 CHILLUM RD
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20782-2237
Country : US
Telephone Number : 202-270-0692
Fax Number :
Provider Business Practice Location Address
First Line : 1223 CHILLUM RD
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20782-2237
Country : US
Telephone Number : 202-270-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2024
Last Update Date : 06/20/2024

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Directions to “ MUKEM EMMANUEL TEKE ” Practice Location

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