Provider Demographics
NPI:1477188241
Name:DOWE, BADRIYA YASMEEN (CRNA)
Entity Type:Individual
Prefix:
First Name:BADRIYA
Middle Name:YASMEEN
Last Name:DOWE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 FLORIDA AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-1850
Mailing Address - Country:US
Mailing Address - Phone:202-520-0570
Mailing Address - Fax:
Practice Address - Street 1:3510 OLD WASHINGTON RD STE 200
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-3235
Practice Address - Country:US
Practice Address - Phone:301-861-3660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-11
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCR241498367500000X
MDR241498367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1Medicaid