Provider Demographics
NPI:1275185670
Name:AYUK, BECHEM A
Entity Type:Individual
Prefix:
First Name:BECHEM
Middle Name:A
Last Name:AYUK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:BECHEM
Other - Middle Name:A
Other - Last Name:AYUK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2551 17TH ST NW STE 255117
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-2831
Mailing Address - Country:US
Mailing Address - Phone:202-845-0807
Mailing Address - Fax:
Practice Address - Street 1:2551 17TH ST NW APT 307
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-2851
Practice Address - Country:US
Practice Address - Phone:202-845-0807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-15
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA14733374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide