Provider Demographics
NPI:1386222610
Name:SAMGWA, FERDINAND DINGHA
Entity Type:Individual
Prefix:
First Name:FERDINAND DINGHA
Middle Name:
Last Name:SAMGWA
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 1:3406 54TH AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1002
Mailing Address - Country:US
Mailing Address - Phone:240-938-0503
Mailing Address - Fax:
Practice Address - Street 1:3406 54TH AVE APT 2
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-1002
Practice Address - Country:US
Practice Address - Phone:240-938-0503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide