Provider Demographics
NPI:1952170656
Name:MBAH, ARMSTRONG MBAH
Entity Type:Individual
Prefix:
First Name:ARMSTRONG
Middle Name:MBAH
Last Name:MBAH
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 1:4800 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-2027
Mailing Address - Country:US
Mailing Address - Phone:202-699-8760
Mailing Address - Fax:
Practice Address - Street 1:4800 MADISON ST
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-2027
Practice Address - Country:US
Practice Address - Phone:202-699-8760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide