Healthcare Provider Details

I. General information

NPI: 1376800607
Provider Name (Legal Business Name): CHRISANTUS ASONG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2012
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3604 MAHNAZ CT
SPRINGDALE MD
20774-3000
US

IV. Provider business mailing address

9414 UTICA PL
SPRINGDALE MD
20774-5445
US

V. Phone/Fax

Practice location:
  • Phone: 202-722-1725
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN1034398
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: