1194049213 NPI number — RUTH GICHANGAH

Table of content: RUTH GICHANGAH (NPI 1194049213)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194049213 NPI number — RUTH GICHANGAH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GICHANGAH
Provider First Name:
RUTH
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194049213
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/18/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
821 HOWARD RD SE
Provider Second Line Business Mailing Address:
2ND FLOOR
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20020-5805
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-698-2431
Provider Business Mailing Address Fax Number:
202-698-2466

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
821 HOWARD RD SE
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20020-5805
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-698-2431
Provider Business Practice Location Address Fax Number:
202-698-2466
Provider Enumeration Date:
03/18/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041S0200X , with the licence number:  G10516 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041S0200X , with the licence number: LG1000417 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)