IndividualActive
Tageldin Banaga
NPI 1689157471 · Driver · Bridgeport, CT
Provider details
- NPI number
- 1689157471
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 017671860 (CT)
Specialties & taxonomies
Other Service Providers
Practice location
1333 E Main St Apt 5
Bridgeport, CT 06608-1400
Phone: (203) 543-3819
Approximate (ZIP-level) locationGet directions
Mailing address
1333 E Main St Apt 5
Bridgeport, CT 06608-1400
Registry dates
- Enumerated
- 2018-09-08
- Last updated
- 2018-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.