Provider Demographics
NPI:1154003390
Name:APEHNGONG, RAHAEL NGAH-MBOH
Entity type:Individual
Prefix:
First Name:RAHAEL
Middle Name:NGAH-MBOH
Last Name:APEHNGONG
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 1:9701 MEADOW LARK AVE
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3877
Mailing Address - Country:US
Mailing Address - Phone:240-758-4378
Mailing Address - Fax:
Practice Address - Street 1:9701 MEADOW LARK AVE
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-3877
Practice Address - Country:US
Practice Address - Phone:240-758-4378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator