Healthcare Provider Details

I. General information

NPI: 1982970398
Provider Name (Legal Business Name): MICHEAL N ESUNJI HHA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2012
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6809 LANDON CT
GREENBELT MD
20770-3048
US

IV. Provider business mailing address

6809 LANDON CT
GREENBELT MD
20770-3048
US

V. Phone/Fax

Practice location:
  • Phone: 202-545-0935
  • Fax:
Mailing address:
  • Phone: 202-545-0935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: