Provider Demographics
NPI:1861747693
Name:OJAH, OGEN R
Entity type:Individual
Prefix:
First Name:OGEN
Middle Name:R
Last Name:OJAH
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 1:7515 BUCHANAN ST APT 230
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-6307
Mailing Address - Country:US
Mailing Address - Phone:202-702-5707
Mailing Address - Fax:
Practice Address - Street 1:7515 BUCHANAN ST APT 230
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-6307
Practice Address - Country:US
Practice Address - Phone:202-702-5707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide