Provider Demographics
NPI:1730653452
Name:SUIM, MERHAWIT MEHARI
Entity Type:Individual
Prefix:
First Name:MERHAWIT
Middle Name:MEHARI
Last Name:SUIM
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 1:1008 MERRIMAC DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-3453
Mailing Address - Country:US
Mailing Address - Phone:240-701-1347
Mailing Address - Fax:
Practice Address - Street 1:4201 BUTTERWORTH PL NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4538
Practice Address - Country:US
Practice Address - Phone:202-414-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-15
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant