Provider Demographics
NPI:1952578049
Name:DANCAY-BANGURA, NABIE YAHAYA
Entity Type:Individual
Prefix:MR
First Name:NABIE
Middle Name:YAHAYA
Last Name:DANCAY-BANGURA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:NABIE
Other - Middle Name:YAHAYA
Other - Last Name:DANCAY-BANGURA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:4102 TUDOR RD
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-9374
Mailing Address - Country:US
Mailing Address - Phone:301-780-5326
Mailing Address - Fax:202-675-2607
Practice Address - Street 1:700 CONSTITUTION AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-6058
Practice Address - Country:US
Practice Address - Phone:202-546-5700
Practice Address - Fax:202-675-2607
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPHA3174183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist