Individual
PAUL THOMAS FATHAY KIAWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 GAS LIGHT CT, GAITHERSBURG, MD 20879-3274
(301) 458-9181
(301) 458-9181
Mailing address
31 GAS LIGHT CT, GAITHERSBURG, MD 20879-3274
(301) 458-9181
(301) 458-9181
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
11/25/2025
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