Provider Demographics
NPI:1114785433
Name:CHE, EUGENICK SIRRI
Entity Type:Individual
Prefix:
First Name:EUGENICK
Middle Name:SIRRI
Last Name:CHE
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 1:5225 KENILWORTH AVE APT 302
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20781-2850
Mailing Address - Country:US
Mailing Address - Phone:240-968-8650
Mailing Address - Fax:
Practice Address - Street 1:5225 KENILWORTH AVE APT 302
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20781-2850
Practice Address - Country:US
Practice Address - Phone:240-968-8650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide