Provider Demographics
NPI:1144581901
Name:CHECK, ANYAM N
Entity Type:Individual
Prefix:
First Name:ANYAM
Middle Name:N
Last Name:CHECK
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 1:6002 BREEZEWOOD DR
Mailing Address - Street 2:APT 203
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-1168
Mailing Address - Country:US
Mailing Address - Phone:240-441-8567
Mailing Address - Fax:
Practice Address - Street 1:6002 BREEZEWOOD DR
Practice Address - Street 2:APT 203
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770
Practice Address - Country:US
Practice Address - Phone:240-441-8567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC200067631263374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide