Provider Demographics
NPI:1285996835
Name:TCHOUKE, OLIVIER TCHATO
Entity type:Individual
Prefix:
First Name:OLIVIER
Middle Name:TCHATO
Last Name:TCHOUKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11550 STEWART LN APT 409
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2251
Mailing Address - Country:US
Mailing Address - Phone:240-370-7831
Mailing Address - Fax:
Practice Address - Street 1:11550 STEWART LN APT 409
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2251
Practice Address - Country:US
Practice Address - Phone:240-370-7831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide