MEDICARE: IJEOMA G AHAGHOTU FNP

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	363LP2300X	Primary Care Nurse Practitioner	R192482	MD
2	363LF0000X	Family Nurse Practitioner	RN1020859	DC

General Provider Information

NPI Number	:	1811573843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IJEOMA G AHAGHOTU FNP

Provider Business Mailing Address
First Line	:	4305 NORTHVIEW DR STE 38
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716-2600
Country	:	US
Telephone Number	:	301-235-9999
Fax Number	:	301-235-9950

Provider Business Practice Location Address
First Line	:	4305 NORTHVIEW DR STE 38
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716-2600
Country	:	US
Telephone Number	:	301-235-9999
Fax Number	:	301-235-9950

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

Provider Enumeration Date	:	03/21/2021
Last Update Date	:	12/09/2025

Similar Medicare Providers

1386478782 — ACCESS HEALTHCARE AND WELLNESS LLC
Practice Location Address:

4305 NORTHVIEW DR STE 38
BOWIE, MD
20716-2600

Practice Phone: 301-235-9999
Practice Fax: 301-235-9950

1801935572 — DR. EDWARD ZEBOVITZ D.D.S.
Practice Location Address:

4311 NORTHVIEW DR
BOWIE, MD
20716-2600

Practice Phone: 301-352-6311
Practice Fax: 301-352-0146

1477809937 — DR. LILIAN LEANYUY
Practice Location Address:

4301 NORTHVIEW DR
BOWIE, MD
20716-2600

Practice Phone: 877-707-7790
Practice Fax:

1790337947 — SCOTT COUNSELING SERVICES
Practice Location Address:

4315 NORTHVIEW DR
BOWIE, MD
20716-2600

Practice Phone: 301-257-0894
Practice Fax:

1598316796 — VERA TANJONG-ONUMAJURU NP
Practice Location Address:

4301 NORTHVIEW DR
BOWIE, MD
20716-2600

Practice Phone: 240-554-7792
Practice Fax:

1942812441 — ADEQUATE HEALTHCARE LLC
Practice Location Address:

4301 NORTHVIEW DR
BOWIE, MD
20716-2600

Practice Phone: 877-707-7790
Practice Fax: 877-775-6657

Directions to “ IJEOMA G AHAGHOTU FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.