Provider Demographics
NPI:1780465716
Name:OBEN, POPINA MENGE EGBE
Entity type:Individual
Prefix:MISS
First Name:POPINA
Middle Name:MENGE EGBE
Last Name:OBEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 WESTWAY APT T1
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-1976
Mailing Address - Country:US
Mailing Address - Phone:240-801-1858
Mailing Address - Fax:
Practice Address - Street 1:124 WESTWAY
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-1920
Practice Address - Country:US
Practice Address - Phone:240-801-1858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker