Individual provider · NPI-1

Nnaemeka Agajelu, M.D

Internal Medicine · Glen Burnie, MD

NPI number1104891886
StatusActive
Last updated in NPPESMar 8, 2016

Details

NPI
1104891886
Entity type
Individual (NPI-1)
Name
Nnaemeka Agajelu
Credential
M.D
Sex
Male
Sole proprietor
No
Enumeration date
Feb 17, 2006
Last updated
Mar 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineD0056950MDYes

Practice location

85 Kindred Way
Suite 101
Glen Burnie, MD 21061

Phone 410-553-6360 · Fax 410-553-6661

Mailing address

85 Kindred Way
Suite 101
Glen Burnie, MD 21061

Phone 410-553-6360 · Fax 410-553-6661

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