Provider Demographics
NPI:1780379255
Name:ANGU MEDICAL ASSOCIATES
Entity type:Organization
Organization Name:ANGU MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GERMAIN
Authorized Official - Middle Name:NDJOMO
Authorized Official - Last Name:ANGU
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:240-441-0154
Mailing Address - Street 1:10308 NEW HAMPSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-1413
Mailing Address - Country:US
Mailing Address - Phone:301-326-2675
Mailing Address - Fax:
Practice Address - Street 1:10308 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-1413
Practice Address - Country:US
Practice Address - Phone:301-326-2675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty