Provider Demographics
NPI:1003388299
Name:ANAMELECHI, EMMANUEL A
Entity Type:Individual
Prefix:
First Name:EMMANUEL
Middle Name:A
Last Name:ANAMELECHI
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 1:228 TUCKERMAN ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1455
Mailing Address - Country:US
Mailing Address - Phone:202-276-6898
Mailing Address - Fax:
Practice Address - Street 1:121 PEABODY ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-2213
Practice Address - Country:US
Practice Address - Phone:202-607-9716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-28
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNA0000607648376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide