Provider Demographics
NPI:1952106098
Name:TCHOUTANG, ARNOLD TCHOUANMOU
Entity type:Individual
Prefix:MR
First Name:ARNOLD
Middle Name:TCHOUANMOU
Last Name:TCHOUTANG
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 1:6912 WOODSTREAM TURN
Mailing Address - Street 2:
Mailing Address - City:LANHAM SEABROOK
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2147
Mailing Address - Country:US
Mailing Address - Phone:202-500-3439
Mailing Address - Fax:
Practice Address - Street 1:6912 WOODSTREAM TURN
Practice Address - Street 2:
Practice Address - City:LANHAM SEABROOK
Practice Address - State:MD
Practice Address - Zip Code:20706-2147
Practice Address - Country:US
Practice Address - Phone:202-500-3439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-13
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Yes172V00000XOther Service ProvidersCommunity Health Worker