Provider Demographics
NPI:1235648304
Name:SAKWE, SAKWE WILLIAM
Entity Type:Individual
Prefix:
First Name:SAKWE
Middle Name:WILLIAM
Last Name:SAKWE
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 1:6827 RIVERDALE RD APT C2
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1846
Mailing Address - Country:US
Mailing Address - Phone:240-467-7632
Mailing Address - Fax:
Practice Address - Street 1:6827 RIVERDALE RD APT C2
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1846
Practice Address - Country:US
Practice Address - Phone:240-467-7632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHHA13134374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide