RAYMOND TAMAMBANG MBAH MD
NPI 1477307320
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 16, 2024PECOS Enrolled
4201 SAINT ANTOINE ST, DETROIT, MI 48201(313) 745-3000 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raymond Tamambang Mbah Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAYMOND TAMAMBANG MBAH MD (NPI 1477307320) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477307320
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRAYMOND TAMAMBANG MBAHCredential: MD
Location Address4201 SAINT ANTOINE STDetroit, MI 48201-2153
Mailing Address23303 Parkway Lakes LnRichmond, TX 77407-2899 · (281) 773-1032
Sole ProprietorNo
Enumeration DateApril 16, 2024
NPPES CertifiedApril 16, 2024
NPI 1477307320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4201 SAINT ANTOINE ST, Detroit, MI 48201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Raymond Tamambang Mbah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Emergency Medicine)
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Anesthesiology
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Emergency Medicine
4201 SAINT ANTOINE ST, UHC-6G
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST, 6G UHC
DETROIT, MI 48201
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST
DETROIT, MI 48201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raymond Mbah's NPI number?

The NPI number for Raymond Mbah is 1477307320. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Where is Raymond Mbah located?

Raymond Mbah practices at 4201 Saint Antoine St, Detroit, MI 48201. The listed phone number is (313) 745-3000.

What is Raymond Mbah's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Raymond Mbah enrolled in Medicare?

Yes. Raymond Mbah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raymond Mbah was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.