Provider Demographics
NPI:1508514191
Name:ABDULHAFEDH, REMSH (RRT)
Entity Type:Individual
Prefix:MISS
First Name:REMSH
Middle Name:
Last Name:ABDULHAFEDH
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9440 S 51ST AVE APT 416
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-6289
Mailing Address - Country:US
Mailing Address - Phone:815-713-0346
Mailing Address - Fax:
Practice Address - Street 1:8901 ROCKVILLE PIKE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL194006363227900000X
WI3278-028227900000X
MDL0007450227900000X
TXRCP02001909227900000X
AZ045512227900000X
GA12324227900000X
MI4401008473227900000X
VA0117009675227900000X
NY011691-01227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Single Specialty