Provider Demographics
NPI:1912731605
Name:EKINDE, CHARLINDA NNEKA ELAD
Entity type:Individual
Prefix:
First Name:CHARLINDA
Middle Name:NNEKA ELAD
Last Name:EKINDE
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 1:14000 CASTLE BLVD APT 708
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-4641
Mailing Address - Country:US
Mailing Address - Phone:240-261-3649
Mailing Address - Fax:
Practice Address - Street 1:2041 MARTIN LUTHER KING JR AVE SE STE M1
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-7004
Practice Address - Country:US
Practice Address - Phone:202-610-9560
Practice Address - Fax:202-610-9561
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-27
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No175T00000XOther Service ProvidersPeer Specialist