Healthcare Provider Details

I. General information

NPI: 1487364964
Provider Name (Legal Business Name): ACHILLE JOSEPH NJANJI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2022
Last Update Date: 06/01/2023
Certification Date: 06/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 MLK JR AVE SE
WASHINGTON DC
20020
US

IV. Provider business mailing address

10335 BROOM LN
LANHAM MD
20706-2131
US

V. Phone/Fax

Practice location:
  • Phone: 202-893-2679
  • Fax:
Mailing address:
  • Phone: 240-360-6921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: