Provider Demographics
NPI:1336843143
Name:BANGAI, ABIBATU BAKARR (PSYCHIATRIC NP)
Entity type:Individual
Prefix:
First Name:ABIBATU
Middle Name:BAKARR
Last Name:BANGAI
Suffix:
Gender:F
Credentials:PSYCHIATRIC NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 N CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-3740
Mailing Address - Country:US
Mailing Address - Phone:443-438-5538
Mailing Address - Fax:
Practice Address - Street 1:1 N CHARLES ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-3740
Practice Address - Country:US
Practice Address - Phone:443-438-5538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN1055710163W00000X
DCNP1055710363LP0808X
MDR237303363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse