MEDICARE: TEZEH MAGHA MISPA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator		DC
2	374U00000X	Home Health Aide	HHA200006323	DC

General Provider Information

NPI Number	:	1295676682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEZEH MAGHA MISPA

Provider Business Mailing Address
First Line	:	3575 LAUREL FORT MEADE RD APT 501
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20724-2039
Country	:	US
Telephone Number	:	240-990-0665
Fax Number	:

Provider Business Practice Location Address
First Line	:	3575 LAUREL FORT MEADE RD APT 501
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20724-2039
Country	:	US
Telephone Number	:	240-990-0665
Fax Number	:

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

Provider Enumeration Date	:	04/02/2026
Last Update Date	:	04/09/2026

Similar Medicare Providers

1659618353 — MRS. LAKEIYA CHERRY MSW, LICSW, LCSW-C
Practice Location Address:

3575 FORT MEADE RD APT 501
LAUREL, MD
20724-2039

Practice Phone: 301-221-9125
Practice Fax:

1518609627 — ST JOSEPH COMMUNITY HEALTHCARE SERVICES
Practice Location Address:

11205 MELVIN CT
LAUREL, MD
20723-2039

Practice Phone: 301-708-8723
Practice Fax:

1811828312 — JOYSLINE NANKU BUDZE
Practice Location Address:

3507 SPRING RD
LAUREL, MD
20724-1429

Practice Phone: 240-945-6513
Practice Fax:

1881523728 — HANNAH MAIYE BAFOR
Practice Location Address:

3405 RIVULET LN
LAUREL, MD
20724-1340

Practice Phone: 240-515-4003
Practice Fax:

1417887142 — OMOLOLA OLONIYO
Practice Location Address:

3343 CORRIDOR MARKETPLACE
LAUREL, MD
20724-2378

Practice Phone: 301-483-0949
Practice Fax:

1780682765 — SUJATA QASBA M.D.
Practice Location Address:

3450 FORT MEADE RD , SUITE #103
LAUREL, MD
20724-2040

Practice Phone: 301-776-2700
Practice Fax: 301-776-4213

Directions to “ TEZEH MAGHA MISPA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.