Provider Demographics
NPI:1992805964
Name:AKPANDAK, ENOH EDET (MD)
Entity type:Individual
Prefix:DR
First Name:ENOH
Middle Name:EDET
Last Name:AKPANDAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:610 PROFESSIONAL DR
Mailing Address - Street 2:SUITE 235
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-3413
Mailing Address - Country:US
Mailing Address - Phone:301-740-9055
Mailing Address - Fax:301-740-9056
Practice Address - Street 1:610 PROFESSIONAL DR
Practice Address - Street 2:SUITE 235
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-3413
Practice Address - Country:US
Practice Address - Phone:301-740-9055
Practice Address - Fax:301-740-9056
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2008-12-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDMD0061946207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG02119Medicare PIN