Provider Demographics
NPI:1053200188
Name:DJIENI TCHAKOU, JOACHIM THIERRY
Entity type:Individual
Prefix:
First Name:JOACHIM
Middle Name:THIERRY
Last Name:DJIENI TCHAKOU
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 1:7401 NEW HAMPSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-6945
Mailing Address - Country:US
Mailing Address - Phone:240-424-4368
Mailing Address - Fax:
Practice Address - Street 1:7401 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6945
Practice Address - Country:US
Practice Address - Phone:240-425-4368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200005061374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide