Provider Demographics
NPI:1770946188
Name:TCHINDE, SIMPLICE ANATOLE (DC)
Entity type:Individual
Prefix:
First Name:SIMPLICE
Middle Name:ANATOLE
Last Name:TCHINDE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 I ST NE APT 3
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3243
Mailing Address - Country:US
Mailing Address - Phone:202-749-0185
Mailing Address - Fax:
Practice Address - Street 1:2107 I ST NE APT 3
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3243
Practice Address - Country:US
Practice Address - Phone:202-749-0185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA11908374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC70919008Medicaid