Provider Demographics
NPI:1467266023
Name:DJONTEU TCHINDA, GILLES CLOTAIRE
Entity type:Individual
Prefix:
First Name:GILLES CLOTAIRE
Middle Name:
Last Name:DJONTEU TCHINDA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13914 CASTLE BLVD APT 103
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-4950
Mailing Address - Country:US
Mailing Address - Phone:301-675-2605
Mailing Address - Fax:
Practice Address - Street 1:13914 CASTLE BLVD APT 103
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-4950
Practice Address - Country:US
Practice Address - Phone:301-675-2605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker