Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chidiadi Agoh

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1710370945

Chidiadi Agoh is a Nurse Practitioner in Lutherville, Maryland. Qualified in 2018, 8 years ago. Practices with Lifebridge Community Physicians Inc, a 185-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
8
Licensed in
MD
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

1447 York Rd Ste 506
Lutherville, MD 21093-6022
Phone: (410) 825-2281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1407 York Rd Ste 310, Lutherville, MD 21093-6054 — (410) 825-2281
  • 12073 Tech Rd, Silver Spring, MD 20904-7873 — (240) 691-4953

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R185364 (MD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R185364 (MD)

Record details

NPI number1710370945
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 12, 2015
Last updated in NPPESJuly 25, 2019
Mailing address6110 Main St, Lanham, MD 20706-2749

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Lifebridge Community Physicians Inc — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Lutherville