Provider Demographics
NPI:1609670454
Name:BAH, MOMODOU G (MD,MPH)
Entity type:Individual
Prefix:
First Name:MOMODOU
Middle Name:G
Last Name:BAH
Suffix:
Gender:
Credentials:MD,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36756 HARPER AVE APT 306
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48035-5889
Mailing Address - Country:US
Mailing Address - Phone:517-894-5735
Mailing Address - Fax:
Practice Address - Street 1:500 UNIVERSITY DR # PA
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2391
Practice Address - Country:US
Practice Address - Phone:717-531-8521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program