OrganizationActive
Prince Georges Ent Head & Neck Surgery, LLC
NPI 1992352033 · Otolaryngology Physician · Waldorf, MD
Provider details
- NPI number
- 1992352033
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bryan Ego-Osuala, President(202) 999-8413
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10 Saint Patricks Dr
Waldorf, MD 20603-4527
Phone: (301) 373-7900
Fax: (301) 373-6900
Street-level locationGet directions
Mailing address
1100 Mercantile Ln Ste 136
Uppr Marlboro, MD 20774-5367
Other names (DBA / former)
- Doing business as
- Prince Georges Ent Head & Neck Surgery
- Doing business as
- Prince Georges Ent Head & Neck Surgery
Registry dates
- Enumerated
- 2019-08-22
- Last updated
- 2020-11-06
- Certified
- 2020-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.