Provider Demographics
NPI:1922796895
Name:ANIAGBA, NWABUEZE
Entity Type:Individual
Prefix:
First Name:NWABUEZE
Middle Name:
Last Name:ANIAGBA
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 1:5600 54TH AVE APT 306
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-2223
Mailing Address - Country:US
Mailing Address - Phone:240-461-2456
Mailing Address - Fax:
Practice Address - Street 1:1717 NEWTON ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-2319
Practice Address - Country:US
Practice Address - Phone:240-461-2456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-27
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator