Provider Demographics
NPI:1407615966
Name:NJIKAM, BERTHA KOZHOU
Entity Type:Individual
Prefix:
First Name:BERTHA
Middle Name:KOZHOU
Last Name:NJIKAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9967 GOOD LUCK RD APT 104
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3276
Mailing Address - Country:US
Mailing Address - Phone:346-467-3536
Mailing Address - Fax:
Practice Address - Street 1:9967 GOOD LUCK RD APT 104
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3276
Practice Address - Country:US
Practice Address - Phone:346-467-3536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator