Provider Demographics
NPI:1427750637
Name:ACHUO ZUH, ROGER
Entity type:Individual
Prefix:
First Name:ROGER
Middle Name:
Last Name:ACHUO ZUH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9120 STEBBING WAY APT B
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-5966
Mailing Address - Country:US
Mailing Address - Phone:443-546-8199
Mailing Address - Fax:
Practice Address - Street 1:9120 STEBBING WAY APT B
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-5966
Practice Address - Country:US
Practice Address - Phone:443-546-8199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker