Provider Demographics
NPI:1447049820
Name:NGONGANG TEKENDO, CEDRIK (MD)
Entity type:Individual
Prefix:
First Name:CEDRIK
Middle Name:
Last Name:NGONGANG TEKENDO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:CEDRIK
Other - Middle Name:
Other - Last Name:NGONGANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:505 NELSON ST
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-1924
Mailing Address - Country:US
Mailing Address - Phone:240-444-1452
Mailing Address - Fax:
Practice Address - Street 1:505 NELSON ST
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-1924
Practice Address - Country:US
Practice Address - Phone:240-444-1452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician