Provider Demographics
NPI:1700637873
Name:TAMEKU, ALEMJU EDWIN SR
Entity Type:Individual
Prefix:MR
First Name:ALEMJU
Middle Name:EDWIN
Last Name:TAMEKU
Suffix:SR
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 1:3107 75TH AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-6903
Mailing Address - Country:US
Mailing Address - Phone:571-598-8200
Mailing Address - Fax:
Practice Address - Street 1:3107 75TH AVE APT 101
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-6903
Practice Address - Country:US
Practice Address - Phone:571-598-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program