Provider Demographics
NPI:1689408833
Name:ANINNEJI, JOACHIM CHUKWUDERA
Entity type:Individual
Prefix:
First Name:JOACHIM
Middle Name:CHUKWUDERA
Last Name:ANINNEJI
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 1:605 KENNEDY ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-3011
Mailing Address - Country:US
Mailing Address - Phone:202-805-9030
Mailing Address - Fax:
Practice Address - Street 1:605 KENNEDY ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-3011
Practice Address - Country:US
Practice Address - Phone:202-805-9030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide