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NPI Code Detail

MEDICARE: DR. IKECHI C. NNAWUCHI

MEDICARE: DR. IKECHI C. NNAWUCHI
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
12084P0804XChild & Adolescent Psychiatry PhysicianD0102092MD
22084P0800XPsychiatry Physician0101236132VA
32084P0800XPsychiatry PhysicianMD035068DC
4208000000XPediatrics PhysicianD0102092MD

General Provider Information

NPI Number : 1598798662
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IKECHI C. NNAWUCHI
Provider Business Mailing Address
First Line : 1054 31ST ST NW
Second Line : SUITE 536
City : WASHINGTON
State : DC
Zip : 20007-4403
Country : US
Telephone Number : 202-570-4590
Fax Number : 202-318-0245
Provider Business Practice Location Address
First Line : 1221 TAYLOR ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-5617
Country : US
Telephone Number : 202-464-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 02/12/2026

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