Healthcare Provider Details

I. General information

NPI: 1194642256
Provider Name (Legal Business Name): TOCHUKWU FELIX OKAFOR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1647 BENNING RD NE
WASHINGTON DC
20002-4569
US

IV. Provider business mailing address

14230 GREENVIEW DR
LAUREL MD
20708-3214
US

V. Phone/Fax

Practice location:
  • Phone: 202-621-8713
  • Fax:
Mailing address:
  • Phone: 202-621-8713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: