Provider Demographics
NPI:1649742156
Name:ELSANBOKHTY, NAMA IBRAHIM
Entity Type:Individual
Prefix:
First Name:NAMA
Middle Name:IBRAHIM
Last Name:ELSANBOKHTY
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 1:715 S ST NW APT A
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-3121
Mailing Address - Country:US
Mailing Address - Phone:202-384-9561
Mailing Address - Fax:
Practice Address - Street 1:1520 INDEPENDENCE AVE SE APT 101
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-1546
Practice Address - Country:US
Practice Address - Phone:202-640-1673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-21
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant