Individual
NDIDI R. AGHOLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7505 NEW HAMPSHIRE AVE, SUITE 302, TAKOMA PARK, MD 20912-6970
(301) 434-8800
(301) 434-8804
Mailing address
7505 NEW HAMPSHIRE AVE, SUITE 302, TAKOMA PARK, MD 20912-6970
(301) 434-8800
(301) 434-8804
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0061511
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036399300
—
DC
05
—
405066501
—
MD
Enumeration date
04/19/2006
Last updated
12/31/2014
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