Healthcare Provider Details

I. General information

NPI: 1619890159
Provider Name (Legal Business Name): SYLVIA TENDE BOBGA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10021 GREENBELT RD APT 203
LANHAM MD
20706-2237
US

IV. Provider business mailing address

10021 GREENBELT RD APT 203
LANHAM MD
20706-2237
US

V. Phone/Fax

Practice location:
  • Phone: 240-510-8580
  • Fax:
Mailing address:
  • Phone: 240-510-8580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: