Provider Demographics
NPI:1902296031
Name:EPOUNDE NGALLE, ELISE ARMELLE (MD)
Entity type:Individual
Prefix:DR
First Name:ELISE ARMELLE
Middle Name:
Last Name:EPOUNDE NGALLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELISE ARMELLE
Other - Middle Name:
Other - Last Name:GNENDJEO TEJEOGUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:272 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-9031
Mailing Address - Country:US
Mailing Address - Phone:740-779-8575
Mailing Address - Fax:740-779-8579
Practice Address - Street 1:272 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601
Practice Address - Country:US
Practice Address - Phone:740-779-8575
Practice Address - Fax:740-779-8579
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-27
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.134470207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine