Search › Maryland › 363LA2200X
Ifreke Udodong
NPI 1487180972 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1500 Forest Glen Rd # Md
Silver Spring, MD 20910 - Phone
- (301) 754-7000
Additional practice sites
- 1310 Southern Ave Se, Washington, DC
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 364SA2200X
- Licence states on file
- MD, DC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland