Provider Demographics
NPI:1821808114
Name:TEKUAHANG, BELTUS ALEAFUAH
Entity type:Individual
Prefix:
First Name:BELTUS
Middle Name:ALEAFUAH
Last Name:TEKUAHANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5417 85TH AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4510
Mailing Address - Country:US
Mailing Address - Phone:202-743-9036
Mailing Address - Fax:
Practice Address - Street 1:5417 85TH AVE APT 101
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4510
Practice Address - Country:US
Practice Address - Phone:202-743-9036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide