Provider Demographics
NPI:1972007920
Name:NGALIM, ALEXANDER BINNYUY
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:BINNYUY
Last Name:NGALIM
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 1:1184 BANNISTER CIRCLE
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-1763
Mailing Address - Country:US
Mailing Address - Phone:240-706-0216
Mailing Address - Fax:
Practice Address - Street 1:3004 GAINESVILLE ST SE APT 388
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-2509
Practice Address - Country:US
Practice Address - Phone:202-678-1953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-22
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No172V00000XOther Service ProvidersCommunity Health Worker