Provider Demographics
NPI:1669289294
Name:MUYAH, SUCCESS TIFUH
Entity type:Individual
Prefix:
First Name:SUCCESS
Middle Name:TIFUH
Last Name:MUYAH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6516 GREENFIELD CT
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3556
Mailing Address - Country:US
Mailing Address - Phone:240-309-7374
Mailing Address - Fax:
Practice Address - Street 1:6516 GREENFIELD CT
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3556
Practice Address - Country:US
Practice Address - Phone:240-309-7374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-17
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide