Provider Demographics
NPI:1750090684
Name:CONTEH, SUFFIAN
Entity type:Individual
Prefix:
First Name:SUFFIAN
Middle Name:
Last Name:CONTEH
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 1:9720 COUNTRY MEADOWS LN APT 1B
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-6314
Mailing Address - Country:US
Mailing Address - Phone:240-360-8047
Mailing Address - Fax:
Practice Address - Street 1:9720 COUNTRY MEADOWS LN APT 1B
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-6314
Practice Address - Country:US
Practice Address - Phone:240-360-8047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-18
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator