Provider Demographics
NPI:1568720506
Name:SANNI, RASHIDAT O
Entity Type:Individual
Prefix:
First Name:RASHIDAT
Middle Name:O
Last Name:SANNI
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 1:1437 MONTANA AVE NE
Mailing Address - Street 2:APT 2
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-3431
Mailing Address - Country:US
Mailing Address - Phone:202-704-6421
Mailing Address - Fax:
Practice Address - Street 1:1437 MONTANA AVE NE
Practice Address - Street 2:APT 2
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-3431
Practice Address - Country:US
Practice Address - Phone:202-704-6421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide