Provider Demographics
NPI:1255162848
Name:FERDINAND NGWA, CHE
Entity type:Individual
Prefix:
First Name:CHE
Middle Name:
Last Name:FERDINAND NGWA
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:CHE
Other - Middle Name:
Other - Last Name:FERDINAND NGWA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11205 TREVOR CT
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-5203
Mailing Address - Country:US
Mailing Address - Phone:301-328-6669
Mailing Address - Fax:
Practice Address - Street 1:4645 NANNIE HELEN BURROUGHS AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-3622
Practice Address - Country:US
Practice Address - Phone:301-532-5005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator