Provider Demographics
NPI:1437495132
Name:ATEKWANA, IGNATIUS
Entity Type:Individual
Prefix:
First Name:IGNATIUS
Middle Name:
Last Name:ATEKWANA
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 1:6531 LANDOVER RD
Mailing Address - Street 2:204
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785-1431
Mailing Address - Country:US
Mailing Address - Phone:202-710-8919
Mailing Address - Fax:
Practice Address - Street 1:6531 LANDOVER RD
Practice Address - Street 2:204
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-1431
Practice Address - Country:US
Practice Address - Phone:202-710-8919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-27
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide