Healthcare Provider Details

I. General information

NPI: 1205780582
Provider Name (Legal Business Name): MS. RITA AZOH ATUD JR.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 ,1628 MARION BARRY AVE
WASHINGTON DC DC
20020
US

IV. Provider business mailing address

8551 GREENBELT RD APT 203
GREENBELT MD
20770-2335
US

V. Phone/Fax

Practice location:
  • Phone: 202-866-7505
  • Fax:
Mailing address:
  • Phone: 301-433-5606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: