Provider Demographics
NPI:1306382692
Name:SANNOH, FUAD
Entity Type:Individual
Prefix:
First Name:FUAD
Middle Name:
Last Name:SANNOH
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 1:7847 RIVERDALE RD APT 203
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-4008
Mailing Address - Country:US
Mailing Address - Phone:443-857-1969
Mailing Address - Fax:
Practice Address - Street 1:7847 RIVERDALE RD APT 203
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-4008
Practice Address - Country:US
Practice Address - Phone:443-857-1969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker