Provider Demographics
NPI:1770226367
Name:AKHIWU, TED OBERAIFO
Entity Type:Individual
Prefix:
First Name:TED
Middle Name:OBERAIFO
Last Name:AKHIWU
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 1:201 E UNIVERSITY PARKWAY, MEDSTAR UNION MEMORIAL HOSPIT
Mailing Address - Street 2:DEPT OF INTERNAL MEDICINE, SUITE 405
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218
Mailing Address - Country:US
Mailing Address - Phone:410-554-2284
Mailing Address - Fax:410-554-2184
Practice Address - Street 1:201 E UNIVERSITY PARKWAY, MEDSTAR UNION MEMORIAL HOSPIT
Practice Address - Street 2:DEPT OF INTERNAL MEDICINE, SUITE 405
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218
Practice Address - Country:US
Practice Address - Phone:410-554-2284
Practice Address - Fax:410-554-2184
Is Sole Proprietor?:No
Enumeration Date:2022-04-20
Last Update Date:2023-01-18
Deactivation Date:2023-01-18
Deactivation Code:
Reactivation Date:2023-01-18
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program