Provider Demographics
NPI:1780391946
Name:DUMBUYA, MOHAMED A I
Entity type:Individual
Prefix:MR
First Name:MOHAMED
Middle Name:A
Last Name:DUMBUYA
Suffix:I
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 1:14155 CASTLE BLVD APT 301
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-4781
Mailing Address - Country:US
Mailing Address - Phone:240-646-2003
Mailing Address - Fax:
Practice Address - Street 1:14155 CASTLE BLVD APT 301
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-4781
Practice Address - Country:US
Practice Address - Phone:240-646-2003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator