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Search › Maryland › 171M00000X

Samgella Edward Banisoba

NPI 1386452803 · on the registry since 2024 · sole proprietor

Practice

Address
4512 Doctor Beans Legacy Cir
Bowie, MD 20720
Phone
(240) 267-3748
Organisation at this address
P & E Compassionate Care, Llc
Lifetouch Clinical Consultants,Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Male
Record last updated
2024-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland