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NPI Code Detail

MEDICARE: EMMANUEL IKECHUWKU IJEH

MEDICARE:   EMMANUEL IKECHUWKU IJEH
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1548115066
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMANUEL IKECHUWKU IJEH
Provider Business Mailing Address
First Line : 14106 DAWN WHISTLE WAY
Second Line :
City : BOWIE
State : MD
Zip : 20721-1304
Country : US
Telephone Number : 240-429-8326
Fax Number :
Provider Business Practice Location Address
First Line : 6323 GEORGIA AVE NW STE 305
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-9996
Country : US
Telephone Number : 240-429-8326
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ EMMANUEL IKECHUWKU IJEH ” Practice Location

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