Look up the most recent NPI and PECOS records

Linda Chidinma Ahaghotu

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4605 Margie Ct, Lanham, MD 20706-1985

PECOS Enrollment

This provider is enrolled in PECOS as LINDA AHAGHOTU.

Based on the most recent information from CMS, provider Linda Chidinma Ahaghotu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1780223628
Provider Type
Individual
Full Name
Ahaghotu, Linda Chidinma
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
12/24/2019
Last Updated
12/24/2019

Contact Information

Practice Location

4605 Margie Ct, Lanham, MD 20706-1985

(240) 535-9943

Unlisted Fax

Mailing Location

4605 Margie Ct, Lanham, MD 20706-1985

(240) 535-9943

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LP0808X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License R164222 Maryland

Linda Chidinma Ahaghotu

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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License

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