Healthcare Provider Details

I. General information

NPI: 1003739277
Provider Name (Legal Business Name): NEIDO LIFE AND HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 MEDICAL CENTER DR STE 262
LARGO MD
20774-3709
US

IV. Provider business mailing address

3040 S DAKOTA AVE NE
WASHINGTON DC
20018-2602
US

V. Phone/Fax

Practice location:
  • Phone: 202-710-5541
  • Fax: 202-506-5797
Mailing address:
  • Phone: 202-710-5541
  • Fax: 202-506-5797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. UDO ASSUMPTA IGWE
Title or Position: CEO
Credential: DNP, FNP-BC, NP-C
Phone: 202-710-5441