Provider Demographics
NPI:1235579723
Name:DIKE UZOUKWU
Entity Type:Organization
Organization Name:DIKE UZOUKWU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:UZOUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-486-9086
Mailing Address - Street 1:5421 LAKEFORD LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4855
Mailing Address - Country:US
Mailing Address - Phone:240-486-9086
Mailing Address - Fax:301-794-4420
Practice Address - Street 1:5421 LAKEFORD LN
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-4855
Practice Address - Country:US
Practice Address - Phone:240-486-9086
Practice Address - Fax:301-794-4420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-27
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health