Provider Demographics
NPI:1699573659
Name:ANDOH, AMSTRONG TANDU
Entity type:Individual
Prefix:
First Name:AMSTRONG
Middle Name:TANDU
Last Name:ANDOH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10510 FORESTGROVE LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2828
Mailing Address - Country:US
Mailing Address - Phone:216-325-8449
Mailing Address - Fax:
Practice Address - Street 1:10510 FORESTGROVE LN
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-2828
Practice Address - Country:US
Practice Address - Phone:216-325-8449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator