Healthcare Provider Details

I. General information

NPI: 1194515791
Provider Name (Legal Business Name): CHIAMAKA SANDRA OGBUOKIRI SLP-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2025
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7411 RIGGS RD STE 308
HYATTSVILLE MD
20783-4246
US

IV. Provider business mailing address

7411 RIGGS RD STE 308
HYATTSVILLE MD
20783-4246
US

V. Phone/Fax

Practice location:
  • Phone: 301-247-5139
  • Fax:
Mailing address:
  • Phone: 301-247-5139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number00204L
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: