Provider Demographics
NPI:1720811649
Name:NDANGOH, JOAKIM NTEH
Entity type:Individual
Prefix:
First Name:JOAKIM
Middle Name:NTEH
Last Name:NDANGOH
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 1:9865 GOOD LUCK RD
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3203
Mailing Address - Country:US
Mailing Address - Phone:240-990-2038
Mailing Address - Fax:
Practice Address - Street 1:5331 85TH AVE APT 202
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3214
Practice Address - Country:US
Practice Address - Phone:240-990-2038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator