Provider Demographics
NPI:1528625415
Name:UMEJI, KINGSLEY CHIDOZIE
Entity type:Individual
Prefix:
First Name:KINGSLEY
Middle Name:CHIDOZIE
Last Name:UMEJI
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 1:2104 E MARLBORO AVE APT 11
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-5237
Mailing Address - Country:US
Mailing Address - Phone:202-390-6160
Mailing Address - Fax:
Practice Address - Street 1:501 32ND ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-2259
Practice Address - Country:US
Practice Address - Phone:301-357-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-26
Last Update Date:2019-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant