Samsuzzuha M. Tariqul Islam

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

11425 Rambling Rd
Gaithersburg, MD 20879-3415

Phone

(301) 728-5200

NPI assigned

Jul 4, 2026

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783123200000",
    "number": "1316864820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11425 RAMBLING RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793415",
            "telephone_number": "301-728-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11425 RAMBLING RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793415",
            "telephone_number": "301-728-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "SAMSUZZUHA",
        "middle_name": "M. TARIQUL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-04",
        "last_updated": "2026-07-04",
        "certification_date": "2026-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Isen, OTR/L
• Alan Joel Isenberg
• William Isenstein, R.PH.
• Mubazar Muhammad Ishfaq
• Raisa Islam
• Islamic Center of Maryland
• Dana Elaine Isom, LCPC
• Dmitriy Itskovich, DDS
• Olena Ivanova, CRNP-FAMILY
• Shaylynnkinne Yvonna Ivory, LMSW

• Personal Care Attendant in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Personal Care Attendant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.