Provider Demographics
NPI:1417205857
Name:DINGA, REGAN TANYI
Entity type:Individual
Prefix:MR
First Name:REGAN
Middle Name:TANYI
Last Name:DINGA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 FARAWAY CT
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-1821
Mailing Address - Country:US
Mailing Address - Phone:301-499-7297
Mailing Address - Fax:
Practice Address - Street 1:708 FARAWAY CT
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-1821
Practice Address - Country:US
Practice Address - Phone:301-499-7297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide