Provider Demographics
NPI:1437953940
Name:TEKU SHERON EKOM, FNU
Entity type:Individual
Prefix:
First Name:FNU
Middle Name:
Last Name:TEKU SHERON EKOM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6858 RIVERDALE RD APT 303
Mailing Address - Street 2:
Mailing Address - City:LANHAM SEABROOK
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1056
Mailing Address - Country:US
Mailing Address - Phone:240-927-7952
Mailing Address - Fax:
Practice Address - Street 1:6858 RIVERDALE RD APT 303
Practice Address - Street 2:
Practice Address - City:LANHAM SEABROOK
Practice Address - State:MD
Practice Address - Zip Code:20706-1056
Practice Address - Country:US
Practice Address - Phone:240-927-7952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide