MEDICARE: IKECHUKWU ONYENEKWU

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
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1548194434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IKECHUKWU ONYENEKWU

Provider Business Mailing Address
First Line	:	11166 FAIRFAX BLVD
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22030-5017
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11166 FAIRFAX BLVD
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22030-5017
Country	:	US
Telephone Number	:	202-510-8968
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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Directions to “ IKECHUKWU ONYENEKWU ” Practice Location

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