Provider Demographics
NPI:1346996337
Name:DANIEL, HIWOT
Entity Type:Individual
Prefix:
First Name:HIWOT
Middle Name:
Last Name:DANIEL
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 1:5410 BLACKSBURG RD APT SUITE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22151-3802
Mailing Address - Country:US
Mailing Address - Phone:703-953-7885
Mailing Address - Fax:
Practice Address - Street 1:99 TREMONT ST
Practice Address - Street 2:
Practice Address - City:MANASSAS PARK
Practice Address - State:VA
Practice Address - Zip Code:20111-1800
Practice Address - Country:US
Practice Address - Phone:703-993-5880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program