Provider Demographics
NPI:1245952563
Name:NDAM, FRANKLIN MOH
Entity type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:MOH
Last Name:NDAM
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 1:7406 VANDENBERG CT
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3374
Mailing Address - Country:US
Mailing Address - Phone:240-936-3205
Mailing Address - Fax:
Practice Address - Street 1:1215 MISSOURI AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-7630
Practice Address - Country:US
Practice Address - Phone:202-758-9004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant