Provider Demographics
NPI:1952181331
Name:SANKOH, YUSRAH
Entity Type:Individual
Prefix:
First Name:YUSRAH
Middle Name:
Last Name:SANKOH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:KHALIL
Other - Middle Name:
Other - Last Name:SANKOH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5152 MEETING PL
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-4933
Mailing Address - Country:US
Mailing Address - Phone:804-503-7584
Mailing Address - Fax:
Practice Address - Street 1:5152 MEETING PL
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-4933
Practice Address - Country:US
Practice Address - Phone:804-503-7584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide