MEDICARE: CHANTAL KOUAMOU WANDJI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide	HHA12663	DC

General Provider Information

NPI Number	:	1306376207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANTAL KOUAMOU WANDJI

Provider Business Mailing Address
First Line	:	8617 ANNAPOLIS RD APT 2
Second Line	:
City	:	NEW CARROLLTON
State	:	MD
Zip	:	20784-3103
Country	:	US
Telephone Number	:	410-565-2988
Fax Number	:

Provider Business Practice Location Address
First Line	:	8617 ANNAPOLIS RD APT 2
Second Line	:
City	:	NEW CARROLLTON
State	:	MD
Zip	:	20784-3103
Country	:	US
Telephone Number	:	410-565-2988
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2017
Last Update Date	:	06/14/2017

Similar Medicare Providers

1932106051 — IHS ACQUISITION NO 132 INC
Practice Location Address:

2135 DENTON DR
CARROLLTON, TX
75006-3103

Practice Phone: 972-242-0667
Practice Fax: 972-242-8641

1659696177 — EASTLAND MEMORIAL HOSPITAL DISTRICT
Practice Location Address:

2135 NORTH DENTON DRIVE
CARROLLTON, TX
75006-3103

Practice Phone: 972-242-0666
Practice Fax: 972-323-9279

1801236807 — DR. MUHAMMAD ISHFAQ M.D
Practice Location Address:

2135 DENTON DR
CARROLLTON, TX
75006-3103

Practice Phone: 321-799-7111
Practice Fax: 865-560-7110

1033656962 — AMY HICKS
Practice Location Address:

104 ROME ST
CARROLLTON, GA
30117-3103

Practice Phone: 404-301-4042
Practice Fax:

1831180603 — SMITA BAID ABRAHAM MD
Practice Location Address:

WO BLDG 22 RM 3103 , 10903 NEW HAMPSHIRE AVENUE
SILVER SPRING, MD
20993-0001

Practice Phone: 301-796-7522
Practice Fax:

1467421123 — MISS STEPHANE MARIE ELISCO LSW, MPA
Practice Location Address:

3103 WILMINGTON RD STE 2
NEW CASTLE, PA
16105-1131

Practice Phone: 724-944-5810
Practice Fax:

Directions to “ CHANTAL KOUAMOU WANDJI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.