Provider Demographics
NPI:1578976759
Name:BABALADE, NGOZI
Entity Type:Individual
Prefix:
First Name:NGOZI
Middle Name:
Last Name:BABALADE
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 1:4009 WARNER AVE
Mailing Address - Street 2:APT B5
Mailing Address - City:LANDOVER HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1961
Mailing Address - Country:US
Mailing Address - Phone:202-882-9310
Mailing Address - Fax:
Practice Address - Street 1:4009 WARNER AVE
Practice Address - Street 2:APT B5
Practice Address - City:LANDOVER HILLS
Practice Address - State:MD
Practice Address - Zip Code:20784-1961
Practice Address - Country:US
Practice Address - Phone:202-882-9310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide