Healthcare Provider Details

I. General information

NPI: 1750023263
Provider Name (Legal Business Name): DANIEL CHIKAMNELE NJOKU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2022
Last Update Date: 04/13/2022
Certification Date: 04/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 CHESTNUT ST STE 220
PHILADELPHIA PA
19107-4405
US

IV. Provider business mailing address

1825 E MARSHALL ST APT 239
RICHMOND VA
23223-7385
US

V. Phone/Fax

Practice location:
  • Phone: 215-955-8465
  • Fax: 215-955-2516
Mailing address:
  • Phone: 804-986-3780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: