Provider Demographics
NPI:1629623962
Name:ORANGI, STEPHEN MWAMBA
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:MWAMBA
Last Name:ORANGI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 TRAMWAY CIR
Mailing Address - Street 2:
Mailing Address - City:ANGIER
Mailing Address - State:NC
Mailing Address - Zip Code:27501-9170
Mailing Address - Country:US
Mailing Address - Phone:919-889-4252
Mailing Address - Fax:
Practice Address - Street 1:100 TRAMWAY CIR
Practice Address - Street 2:
Practice Address - City:ANGIER
Practice Address - State:NC
Practice Address - Zip Code:27501-9170
Practice Address - Country:US
Practice Address - Phone:919-889-4252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)