Provider Demographics
NPI:1568244291
Name:TSEGAYE, TEGIST ABRHAM
Entity Type:Individual
Prefix:
First Name:TEGIST
Middle Name:ABRHAM
Last Name:TSEGAYE
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 1:1440 V ST NW APT 501
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-5791
Mailing Address - Country:US
Mailing Address - Phone:202-826-1566
Mailing Address - Fax:
Practice Address - Street 1:1440 V ST NW APT 311
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-5790
Practice Address - Country:US
Practice Address - Phone:202-604-8151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant