Provider Demographics
NPI:1528861960
Name:NDZEKASAAH, RASHIDOU
Entity type:Individual
Prefix:
First Name:RASHIDOU
Middle Name:
Last Name:NDZEKASAAH
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 1:75 HARRY S TRUMAN DR APT 32
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-1041
Mailing Address - Country:US
Mailing Address - Phone:202-597-3304
Mailing Address - Fax:
Practice Address - Street 1:75 HARRY S TRUMAN DR APT 32
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-1041
Practice Address - Country:US
Practice Address - Phone:202-597-3304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator