Provider Demographics
NPI:1952116394
Name:DIKE, TOCHUKWU ANSELM
Entity type:Individual
Prefix:MR
First Name:TOCHUKWU
Middle Name:ANSELM
Last Name:DIKE
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:TOCHUKWU
Other - Middle Name:ANSELM
Other - Last Name:DIKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:149 R ST NE APT 1
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-2150
Mailing Address - Country:US
Mailing Address - Phone:310-720-0616
Mailing Address - Fax:
Practice Address - Street 1:1949 4TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1211
Practice Address - Country:US
Practice Address - Phone:202-462-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN500006379163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health