Provider Demographics
NPI:1609212836
Name:NCHANG, AMANDA NDE
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:NDE
Last Name:NCHANG
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 1:7851 RIVERDALE RD APT 202
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-4004
Mailing Address - Country:US
Mailing Address - Phone:202-808-1344
Mailing Address - Fax:
Practice Address - Street 1:3408 GOLDEN COURT
Practice Address - Street 2:
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613-4004
Practice Address - Country:US
Practice Address - Phone:202-808-1344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator