Provider Demographics
NPI:1417664046
Name:DAUDA, SANNAH Y
Entity Type:Individual
Prefix:
First Name:SANNAH
Middle Name:Y
Last Name:DAUDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SANNAH
Other - Middle Name:Y
Other - Last Name:GULAMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9594 MUIRKIRK RD APT 102
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-2706
Mailing Address - Country:US
Mailing Address - Phone:908-696-3070
Mailing Address - Fax:
Practice Address - Street 1:9594 MUIRKIRK RD APT 102
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-2706
Practice Address - Country:US
Practice Address - Phone:908-696-3070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator