Provider Demographics
NPI:1790470540
Name:NJOHJAM, MICHEAL KUNE (BSC MICROBIOLOGY)
Entity Type:Individual
Prefix:MR
First Name:MICHEAL
Middle Name:KUNE
Last Name:NJOHJAM
Suffix:
Gender:M
Credentials:BSC MICROBIOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5110 54TH AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20781-2803
Mailing Address - Country:US
Mailing Address - Phone:240-709-0451
Mailing Address - Fax:
Practice Address - Street 1:5110 54TH AVE APT 1
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20781-2803
Practice Address - Country:US
Practice Address - Phone:240-709-0451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker