Healthcare Provider Details

I. General information

NPI: 1285566158
Provider Name (Legal Business Name): DANIEL NJIGE TAH ATANGA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 15TH ST NE
WASHINGTON DC
20002-8414
US

IV. Provider business mailing address

3452 LINDEN GROVE DR
WALDORF MD
20603-4041
US

V. Phone/Fax

Practice location:
  • Phone: 202-388-8500
  • Fax:
Mailing address:
  • Phone: 240-855-3076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: