MEDICARE: DELPHINE AMBANG ANAKA

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1073874046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELPHINE AMBANG ANAKA

Provider Business Mailing Address
First Line	:	2807 ORCHARD SUMMIT CT
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20785-2621
Country	:	US
Telephone Number	:	240-528-0850
Fax Number	:

Provider Business Practice Location Address
First Line	:	1427 GOOD HOPE RD SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-5614
Country	:	US
Telephone Number	:	202-836-4841
Fax Number	:

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

Provider Enumeration Date	:	06/06/2012
Last Update Date	:	10/19/2023

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