Provider Demographics
NPI:1902591290
Name:YENKONG, PANGMASHI EN
Entity Type:Individual
Prefix:
First Name:PANGMASHI
Middle Name:EN
Last Name:YENKONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DISTRICT HEALTHCARE SERVICES
Mailing Address - Street 2:2811 PENNSYLVANIA AVE, SE
Mailing Address - City:WASHINGTON DC
Mailing Address - State:DC
Mailing Address - Zip Code:20020
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:DISTRICT HEALTHCARE SERVICES 2811 PENNSYLVANIA AVE, SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON, DC
Practice Address - State:DC
Practice Address - Zip Code:20020
Practice Address - Country:US
Practice Address - Phone:202-894-6811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-11
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical