SearchMaryland171M00000X

Derick Mbanwei

NPI 1912762444 · on the registry since 2024 · sole proprietor

Practice

Address
6809 Riverdale Rd Apt 201
Riverdale, MD 20737
Phone
(845) 531-7433
Clinicians at this address
3

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
172V00000X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland