MEDICARE: CHRISTOPHER MOKOM

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	374U00000X	Home Health Aide	HHA3747	DC

General Provider Information

NPI Number	:	1962765636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER MOKOM

Provider Business Mailing Address
First Line	:	7826 EASTERN AVE NW
Second Line	:	LL18A
City	:	WASHINGTON
State	:	DC
Zip	:	20012-1324
Country	:	US
Telephone Number	:	202-722-7776
Fax Number	:	202-722-7785

Provider Business Practice Location Address
First Line	:	7826 EASTERN AVE NW
Second Line	:	LL18A
City	:	WASHINGTON
State	:	DC
Zip	:	20012-1324
Country	:	US
Telephone Number	:	202-722-7776
Fax Number	:	202-722-7785

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

Provider Enumeration Date	:	06/19/2012
Last Update Date	:	03/11/2026

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Directions to “ CHRISTOPHER MOKOM ” Practice Location

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