Provider Demographics
NPI:1952290777
Name:SEYDI, MAMADOU ALY
Entity type:Individual
Prefix:
First Name:MAMADOU
Middle Name:ALY
Last Name:SEYDI
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 1:10801 LARIAT WAY
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-9136
Mailing Address - Country:US
Mailing Address - Phone:202-617-8803
Mailing Address - Fax:
Practice Address - Street 1:10801 LARIAT WAY
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-9136
Practice Address - Country:US
Practice Address - Phone:202-617-8803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide