Provider Demographics
NPI:1558990390
Name:WANJIKU, CHRISTOPHER MWANIKI (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:MWANIKI
Last Name:WANJIKU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 E WEST HWY APT 314
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-6271
Mailing Address - Country:US
Mailing Address - Phone:317-220-5010
Mailing Address - Fax:
Practice Address - Street 1:1215 E WEST HWY APT 314
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-6271
Practice Address - Country:US
Practice Address - Phone:317-220-5010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program