Provider Demographics
NPI:1407456536
Name:CONTEH, HAJA A II
Entity Type:Individual
Prefix:MRS
First Name:HAJA
Middle Name:A
Last Name:CONTEH
Suffix:II
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 1:3223 HEWITT AVE APT 204
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-4979
Mailing Address - Country:US
Mailing Address - Phone:240-559-7805
Mailing Address - Fax:
Practice Address - Street 1:3223 HEWITT AVE APT 204
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-4979
Practice Address - Country:US
Practice Address - Phone:240-559-7805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDHHA14080374U00000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty