Provider Demographics
NPI:1396527396
Name:NGAM, BENIS NAYAH
Entity type:Individual
Prefix:
First Name:BENIS NAYAH
Middle Name:
Last Name:NGAM
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 1:12707 HEIDI MARIE CT
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5639
Mailing Address - Country:US
Mailing Address - Phone:202-867-2236
Mailing Address - Fax:
Practice Address - Street 1:12707 HEIDI MARIE CT
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-5639
Practice Address - Country:US
Practice Address - Phone:202-867-2236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide