Provider Demographics
NPI:1932917333
Name:WUSEGHO, ANTHONY YINDUI
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:YINDUI
Last Name:WUSEGHO
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 1:3993 WARNER AVE APT B5
Mailing Address - Street 2:
Mailing Address - City:LANDOVER HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20784-2053
Mailing Address - Country:US
Mailing Address - Phone:301-728-7605
Mailing Address - Fax:
Practice Address - Street 1:3993 WARNER AVE APT B5
Practice Address - Street 2:
Practice Address - City:LANDOVER HILLS
Practice Address - State:MD
Practice Address - Zip Code:20784-2053
Practice Address - Country:US
Practice Address - Phone:301-728-7605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-19
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker