Provider Demographics
NPI:1275077547
Name:ASHU, HENRY
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:
Last Name:ASHU
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 1:790 FAIRVIEW AVE
Mailing Address - Street 2:APT. #619
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-5979
Mailing Address - Country:US
Mailing Address - Phone:202-820-3868
Mailing Address - Fax:
Practice Address - Street 1:790 FAIRVIEW AVE
Practice Address - Street 2:APT. #619
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-5979
Practice Address - Country:US
Practice Address - Phone:202-820-3868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA12578374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCHHA12578OtherHHA12578