Provider Demographics
NPI:1467833913
Name:NNAJI, EMMANUEL NNAMDI
Entity Type:Individual
Prefix:
First Name:EMMANUEL
Middle Name:NNAMDI
Last Name:NNAJI
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 1:5827 CRESTVIEW CV
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-6259
Mailing Address - Country:US
Mailing Address - Phone:832-375-9718
Mailing Address - Fax:
Practice Address - Street 1:2651 CARTWRIGHT RD STE I&H
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2635
Practice Address - Country:US
Practice Address - Phone:832-375-9718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-10
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No172V00000XOther Service ProvidersCommunity Health Worker