Provider Demographics
NPI:1033809942
Name:MUNJE, DONALD MBAH
Entity Type:Individual
Prefix:
First Name:DONALD MBAH
Middle Name:
Last Name:MUNJE
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 1:621 SHERIDAN ST APT 24
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-3212
Mailing Address - Country:US
Mailing Address - Phone:301-723-1792
Mailing Address - Fax:
Practice Address - Street 1:621 SHERIDAN ST APT 24
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-3212
Practice Address - Country:US
Practice Address - Phone:301-723-1792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide