Provider Demographics
NPI:1942440946
Name:DIAGNE, ABDOUL AZIZ (DPT)
Entity Type:Individual
Prefix:DR
First Name:ABDOUL
Middle Name:AZIZ
Last Name:DIAGNE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 GEORGIAN WOODS PL
Mailing Address - Street 2:APT 13
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-1831
Mailing Address - Country:US
Mailing Address - Phone:603-233-2243
Mailing Address - Fax:
Practice Address - Street 1:973 RUSSELL AVE
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-3292
Practice Address - Country:US
Practice Address - Phone:301-740-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD226602251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic