Provider Demographics
NPI:1932893443
Name:AKUMAWAH, FRU
Entity Type:Individual
Prefix:
First Name:FRU
Middle Name:
Last Name:AKUMAWAH
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 1:5331 85TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3214
Mailing Address - Country:US
Mailing Address - Phone:240-486-0877
Mailing Address - Fax:
Practice Address - Street 1:5331 85TH AVE
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3214
Practice Address - Country:US
Practice Address - Phone:240-486-0877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-07
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator