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NPI Code Detail

MEDICARE: BINTA MBENGA

MEDICARE: BINTA MBENGA
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
1171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801592837
Entity Type Code : Individual
Provider Name (Legal Business Name) : BINTA MBENGA
Provider Business Mailing Address
First Line : 1961 HICKORY HILL LN
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-5810
Country : US
Telephone Number : 202-215-7703
Fax Number :
Provider Business Practice Location Address
First Line : 3417 18TH ST NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-2721
Country : US
Telephone Number : 202-629-2917
Fax Number : 202-629-2797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2023
Last Update Date : 08/30/2023

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Directions to “ BINTA MBENGA ” Practice Location

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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.

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