Provider Demographics
NPI:1992549802
Name:IHIONU, IKECHUKWU
Entity type:Individual
Prefix:
First Name:IKECHUKWU
Middle Name:
Last Name:IHIONU
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 1:6310 93RD AVE
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2771
Mailing Address - Country:US
Mailing Address - Phone:301-263-4920
Mailing Address - Fax:
Practice Address - Street 1:6310 93RD AVE
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2771
Practice Address - Country:US
Practice Address - Phone:301-263-4920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician