Provider Demographics
NPI:1912884891
Name:KEMAL, FAYZA S
Entity type:Individual
Prefix:
First Name:FAYZA
Middle Name:S
Last Name:KEMAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10315 GILMOURE DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4611
Mailing Address - Country:US
Mailing Address - Phone:240-398-0464
Mailing Address - Fax:240-398-0464
Practice Address - Street 1:971 RUSSELL AVE
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-6207
Practice Address - Country:US
Practice Address - Phone:240-398-0464
Practice Address - Fax:240-398-0464
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC200005258374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide