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

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