Idongesit Iheanyichukwu Attang
Family Doctor - Adult Medicine
1221 Mercantile Lane
Largo
, Maryland 20774
Idongesit Iheanyichukwu Attang
Family Doctor - Adult Medicine
1221 Mercantile Lane
Largo
, Maryland 20774
(301) 816-5853
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Idongesit Iheanyichukwu Attang
- 2101 E Jefferson St Ste 6w
- Rockville, MD
- Zip : 20852-4908
- Phone : (301) 816-5853
Second Address
- Idongesit Iheanyichukwu Attang
- 1221 Mercantile Lane
- Largo, MD
- Zip : 20774
- Phone : (301) 618-5500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | D84615 | MD |
National Provider Identifier
| NPI | 1114312758 |
|---|---|
| Provider Name | Idongesit Iheanyichukwu Attang |
| First Address | Rockville, MD 20852-4908 |
| Second Address | Largo, MD 20774 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2015 |
| Last Update Date | 27/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.