Provider Demographics
NPI:1912586066
Name:AHMADU, SUNJU
Entity Type:Individual
Prefix:
First Name:SUNJU
Middle Name:
Last Name:AHMADU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 14TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-3501
Mailing Address - Country:US
Mailing Address - Phone:202-300-3421
Mailing Address - Fax:
Practice Address - Street 1:801 RHODE ISLAND AVE NW APT 704
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3178
Practice Address - Country:US
Practice Address - Phone:202-332-7316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant