Provider Demographics
NPI:1164293080
Name:SILLAH, DAUDA
Entity Type:Individual
Prefix:
First Name:DAUDA
Middle Name:
Last Name:SILLAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6821 RED TOP RD
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-5943
Mailing Address - Country:US
Mailing Address - Phone:240-945-0879
Mailing Address - Fax:
Practice Address - Street 1:6821 RED TOP RD
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-5943
Practice Address - Country:US
Practice Address - Phone:240-945-0879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide