Mr. Samgella Edward Banisoba Sr.
Mr. Samgella Edward Banisoba Sr. is a Case Manager/Care Coordinator in Bowie, Maryland. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
4512 Doctor Beans Legacy CirBowie, MD 20720-6384
Phone: (240) 267-3748
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1386452803 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 30, 2024 |
| Last updated in NPPES | December 30, 2024 |
| Certification date | December 30, 2024 |
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