NPI 1588204747
Terence Ayeah Komtangi
Practice location
- Address
- 925 Alysheba Rd APT 104, Shakopee, MN 55379-4913
- Phone
- (952) 356-4336
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1588204747
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Jan 2020
- Record last updated
- 15 Jan 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.