Provider Demographics
NPI:1700629433
Name:NGOH, SHAARON MAH
Entity type:Individual
Prefix:
First Name:SHAARON
Middle Name:MAH
Last Name:NGOH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 HILLTOP TER SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-4208
Mailing Address - Country:US
Mailing Address - Phone:240-927-9314
Mailing Address - Fax:
Practice Address - Street 1:731 HILLTOP TER SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-4208
Practice Address - Country:US
Practice Address - Phone:240-927-9314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-18
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator