MEDICARE: SURZINE NGUIAH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	171M00000X	Case Manager/Care Coordinator
2	174N00000X	Lactation Consultant (Non-RN)
3	343900000X	Non-emergency Medical Transport (VAN)
4	374U00000X	Home Health Aide
5	374J00000X	Doula

General Provider Information

NPI Number	:	1528911997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SURZINE NGUIAH

Provider Business Mailing Address
First Line	:	4451 TELFAIR BLVD APT 6113
Second Line	:
City	:	CAMP SPRINGS
State	:	MD
Zip	:	20746-5272
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4451 TELFAIR BLVD APT 6113
Second Line	:
City	:	CAMP SPRINGS
State	:	MD
Zip	:	20746-5272
Country	:	US
Telephone Number	:	760-677-3499
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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