Provider Demographics
NPI:1639977853
Name:NGASA, NADESH DIALLE
Entity type:Individual
Prefix:
First Name:NADESH
Middle Name:DIALLE
Last Name:NGASA
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 1:404 AQUA LYNN DR
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-5605
Mailing Address - Country:US
Mailing Address - Phone:612-281-1308
Mailing Address - Fax:
Practice Address - Street 1:404 AQUA LYNN DR
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-5605
Practice Address - Country:US
Practice Address - Phone:612-281-1308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide