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NPI Code Detail

MEDICARE: PEACE DIVINE AKHIMIENMHONA MD

MEDICARE:   PEACE DIVINE  AKHIMIENMHONA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1538008990
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEACE DIVINE AKHIMIENMHONA MD
Provider Business Mailing Address
First Line : 5411 85TH AVE APT 201
Second Line :
City : LANHAM
State : MD
Zip : 20706-4507
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6934 WILLIAMS RD STE 200
Second Line :
City : NIAGARA FALLS
State : NY
Zip : 14304-3080
Country : US
Telephone Number : 716-297-8260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2026
Last Update Date : 03/27/2026

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Directions to “ PEACE DIVINE AKHIMIENMHONA MD” Practice Location

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