Provider Demographics
NPI:1275891228
Name:KAMGUNA, SARIANA A
Entity Type:Individual
Prefix:
First Name:SARIANA
Middle Name:A
Last Name:KAMGUNA
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 1:7920 SHERIFF RD
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4505
Mailing Address - Country:US
Mailing Address - Phone:202-390-3907
Mailing Address - Fax:
Practice Address - Street 1:7920 SHERIFF RD
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-4505
Practice Address - Country:US
Practice Address - Phone:202-390-3907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide