Provider Demographics
NPI:1891041380
Name:EHLAN-AKOUVI, BADAGBO
Entity Type:Individual
Prefix:
First Name:BADAGBO
Middle Name:
Last Name:EHLAN-AKOUVI
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 1:4627 13TH ST NW
Mailing Address - Street 2:#203
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-4448
Mailing Address - Country:US
Mailing Address - Phone:301-518-5845
Mailing Address - Fax:
Practice Address - Street 1:4627 13TH ST NW
Practice Address - Street 2:#203
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-4448
Practice Address - Country:US
Practice Address - Phone:301-518-5845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide