Provider Demographics
NPI:1073206678
Name:AKWE, DESMOND AKWE JR
Entity Type:Individual
Prefix:
First Name:DESMOND
Middle Name:AKWE
Last Name:AKWE
Suffix:JR
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 1:1445 HOWARD RD SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-4406
Mailing Address - Country:US
Mailing Address - Phone:028-946-8112
Mailing Address - Fax:
Practice Address - Street 1:11200 LOCKWOOD DR APT 117
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4524
Practice Address - Country:US
Practice Address - Phone:301-806-7372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-30
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No251S00000XAgenciesCommunity/Behavioral Health