Healthcare Provider Details

I. General information

NPI: 1821915034
Provider Name (Legal Business Name): RAPHAEL NJOKU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8224 OLD MILL RD
PASADENA MD
21122-1206
US

IV. Provider business mailing address

8224 OLD MILL RD
PASADENA MD
21122-1206
US

V. Phone/Fax

Practice location:
  • Phone: 240-303-3073
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number29328
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: