Provider Demographics
NPI:1417838434
Name:NSIOH, MBENGE E
Entity type:Individual
Prefix:
First Name:MBENGE
Middle Name:E
Last Name:NSIOH
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 1:3151 QUEENS CHAPEL RD APT 302
Mailing Address - Street 2:
Mailing Address - City:MOUNT RAINIER
Mailing Address - State:MD
Mailing Address - Zip Code:20712-1174
Mailing Address - Country:US
Mailing Address - Phone:240-796-8076
Mailing Address - Fax:
Practice Address - Street 1:3151 QUEENS CHAPEL RD APT 302
Practice Address - Street 2:
Practice Address - City:MOUNT RAINIER
Practice Address - State:MD
Practice Address - Zip Code:20712-1174
Practice Address - Country:US
Practice Address - Phone:240-796-8076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator