Provider Demographics
NPI:1720647597
Name:SARR, SALIEU
Entity type:Individual
Prefix:
First Name:SALIEU
Middle Name:
Last Name:SARR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7276 CALM SUNSET
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-3400
Mailing Address - Country:US
Mailing Address - Phone:240-643-0431
Mailing Address - Fax:
Practice Address - Street 1:5715 6TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-6201
Practice Address - Country:US
Practice Address - Phone:202-725-0198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist