Agholor, Ndidi R.
Agholor, Ndidi R. is an sole proprietor health care provider with primary practice located at 7505 New Hampshire Ave Suite 302, Takoma Park MD 20912-6970. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Agholor, Ndidi R. can be contacted via phone (301) 434-8800.Contact Information
Primary practice address
7505 New Hampshire Ave Suite 302
Takoma Park MD 20912-6970
Phone: (301) 434-8800
Fax: (301) 434-8804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0061511 | Maryland |
Profile Details
| NPI number | 1316902547 |
|---|---|
| LBN Legal business name | Agholor, Ndidi R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Dec 31st, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316902547 | NPPES |
| Maryland | MEDICAID | 405066501 | |
| Maryland | MEDICAID | 036399300 |
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