Healthcare Provider Details

I. General information

NPI: 1376451930
Provider Name (Legal Business Name): ANCHI GILLIAN AWURO EPSE ANAGHO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 GREEN ASH CT
BELTSVILLE MD
20705-3826
US

IV. Provider business mailing address

3710 GREEN ASH CT
BELTSVILLE MD
20705-3826
US

V. Phone/Fax

Practice location:
  • Phone: 240-423-3145
  • Fax:
Mailing address:
  • Phone: 240-423-3145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number10276651428
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: