Provider Demographics
NPI:1124817358
Name:NGAH, RAMATU NDOMIH (NP)
Entity type:Individual
Prefix:
First Name:RAMATU
Middle Name:NDOMIH
Last Name:NGAH
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8117 HARFORD RD STE 2
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-5792
Mailing Address - Country:US
Mailing Address - Phone:410-882-4800
Mailing Address - Fax:410-822-6667
Practice Address - Street 1:8117 HARFORD RD STE 2
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-5792
Practice Address - Country:US
Practice Address - Phone:410-882-4800
Practice Address - Fax:410-822-6667
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR190711363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care