Healthcare Provider Details

I. General information

NPI: 1184850505
Provider Name (Legal Business Name): ADAKU U. NWACHUKU D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2009
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8222 SCHULTZ RD STE 100A
CLINTON MD
20735-2607
US

IV. Provider business mailing address

8222 SCHULTZ RD STE 100A
CLINTON MD
20735-2607
US

V. Phone/Fax

Practice location:
  • Phone: 202-221-8442
  • Fax: 202-221-8443
Mailing address:
  • Phone: 202-221-8442
  • Fax: 202-221-8443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberDO034629
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number252614-1
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberH0077516
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: