SearchMaryland171M00000X

Fafavi Dagadu

NPI 1609452465 · on the registry since 2021 · sole proprietor

Practice

Address
4502 Morning Glory Trl
Bowie, MD 20720
Phone
(410) 200-0707
Fax
(410) 200-0707

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
251E00000X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-20

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