Provider Demographics
NPI:1114372315
Name:SUNA, GALGE
Entity Type:Individual
Prefix:
First Name:GALGE
Middle Name:
Last Name:SUNA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5050 WHITFIELD CHAPEL ROAD
Mailing Address - Street 2:APT 204
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706
Mailing Address - Country:US
Mailing Address - Phone:240-713-0037
Mailing Address - Fax:
Practice Address - Street 1:5050 WHITFIELD CHAPEL ROAD
Practice Address - Street 2:APT 204
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706
Practice Address - Country:US
Practice Address - Phone:240-713-0037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-26
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC11856374U00000X
DCHHA11856390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No374U00000XNursing Service Related ProvidersHome Health Aide