MANJU SHERIFFO TAMBAJANG
NPI 1881430387
Student in an Organized Health Care Education/Training Program in Warner Robins, GA

Q: What is Manju Tambajang's NPI number?

The NPI number for Manju Tambajang is 1881430387. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Q: What is Manju Tambajang's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Manju Tambajang was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since July 03, 2024PECOS Enrolled

233 N HOUSTON RD STE 140E, WARNER ROBINS, GA 31093(478) 975-6880 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2024, Jul 3, 2024 (2 updates tracked since 2024).

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About Manju Sheriffo Tambajang NPPES

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

MANJU SHERIFFO TAMBAJANG (NPI 1881430387) is an individual student in an organized health care education/training program in Warner Robins, Georgia, licensed in Georgia (16651) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Warner Robins.

NPPES Registry Identity

NPI1881430387

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMANJU SHERIFFO TAMBAJANG

Location Address233 N HOUSTON RD STE 140EWarner Robins, GA 31093-3023

Mailing Address233 N Houston Rd Ste 140eWarner Robins, GA 31093-3023 · (478) 975-6880

Phone(478) 975-6880

Sole ProprietorYes

Enumeration DateJuly 3, 2024

Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration

NPPES CertifiedAugust 12, 2024

✔ NPI 1881430387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in GA · 16651

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.

233 N HOUSTON RD STE 140E, Warner Robins, GA 31093

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Secondary Practice Location 1

Location 1233 N Houston RdWarner Robins, GA 31093-3074 · Phone (478) 975-6880 · Fax (478) 975-6869

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manju Sheriffo Tambajang 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.

JAFER MAKKI MD

Student in an Organized Health Care Education/Training Program