Provider Demographics
NPI:1497427843
Name:SIRAJ, HIDJA AHMED
Entity Type:Individual
Prefix:
First Name:HIDJA
Middle Name:AHMED
Last Name:SIRAJ
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 1:15116 REDGATE DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-5729
Mailing Address - Country:US
Mailing Address - Phone:240-516-4319
Mailing Address - Fax:
Practice Address - Street 1:15116 REDGATE DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-5729
Practice Address - Country:US
Practice Address - Phone:240-516-4319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide