Provider Demographics
NPI:1083973788
Name:NCHENKU, LINUS NKENG
Entity Type:Individual
Prefix:
First Name:LINUS
Middle Name:NKENG
Last Name:NCHENKU
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 1:5903 MAGNOLIA HILL LN
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-3519
Mailing Address - Country:US
Mailing Address - Phone:240-604-4217
Mailing Address - Fax:
Practice Address - Street 1:5903 MAGNOLIA HILL LN
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-3519
Practice Address - Country:US
Practice Address - Phone:240-604-4217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide