Provider Demographics
NPI:1437690484
Name:ABANGAWOH, SAHSANDRA ASONG I (HEALTH CARE PROVIDER)
Entity Type:Individual
Prefix:MISS
First Name:SAHSANDRA
Middle Name:ASONG
Last Name:ABANGAWOH
Suffix:I
Gender:F
Credentials:HEALTH CARE PROVIDER
Other - Prefix:MISS
Other - First Name:SAHSANDA
Other - Middle Name:ASONG
Other - Last Name:ABANAGAWOH
Other - Suffix:I
Other - Last Name Type:Former Name
Other - Credentials:HEALTH CARE PROVIDE
Mailing Address - Street 1:7600 GEORGIA AVE, #323
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012
Mailing Address - Country:US
Mailing Address - Phone:202-723-3060
Mailing Address - Fax:202-723-3065
Practice Address - Street 1:7600 GEORGIA AVE, #323
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012
Practice Address - Country:US
Practice Address - Phone:202-723-3060
Practice Address - Fax:202-723-3065
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-10
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ104100000X
DCHHA12672374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No104100000XBehavioral Health & Social Service ProvidersSocial Worker