Provider Demographics
NPI:1346503604
Name:ANAGHO, ROBERT MBEKA
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:MBEKA
Last Name:ANAGHO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13230 GREENMOUNT AVE
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1058
Mailing Address - Country:US
Mailing Address - Phone:301-920-4193
Mailing Address - Fax:
Practice Address - Street 1:13230 GREENMOUNT AVE
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-1058
Practice Address - Country:US
Practice Address - Phone:301-920-4193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide