Philip Yamoah Bandoh

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

0001248078 Issued in VA

Practice address

6911 Richmond Hwy Unit 324B
Alexandria, VA 22306-1842

Phone

(571) 347-8163

Fax

(571) 347-8164

NPI assigned

Mar 26, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1164059242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 RICHMOND HWY UNIT 324B",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223061842",
            "telephone_number": "571-347-8163",
            "fax_number": "571-347-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 RICHMOND HWY UNIT 324B",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223061842",
            "telephone_number": "571-347-8163",
            "fax_number": "571-347-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDOH",
        "first_name": "PHILIP",
        "middle_name": "YAMOAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "VA",
            "license": "0001248078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John E. Ball, M.D.
• Sarah Elizabeth Ball, APRN, FNP
• Carol Ballena
• Iris Elizabeth Baly, PH.D.
• Donna Bambach
• Brenda Bandong, LCSW
• Fatmata M Bangura, DPT
• Nadia E Bangura, PA-C
• Oluwaseyi Banjo, NP
• Beth A Banker, FNP

• All providers in Alexandria, VA
• General Practice Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.