Search › Maryland › 171M00000X

Fades Gwan

NPI 1912704594 · on the registry since 2025 · sole proprietor

Practice

Address
3811 64th Ave
Hyattsville, MD 20784
Phone
(240) 978-1285
Clinicians at this address
3

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Male
Record last updated
2025-02-28

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