Provider Demographics
NPI:1922351709
Name:ASHU, MANFRED MAKIA
Entity Type:Individual
Prefix:MR
First Name:MANFRED
Middle Name:MAKIA
Last Name:ASHU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7609 RESERVE CIR APT 104
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-1643
Mailing Address - Country:US
Mailing Address - Phone:301-404-9011
Mailing Address - Fax:
Practice Address - Street 1:7609 RESERVE CIR APT 104
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-1643
Practice Address - Country:US
Practice Address - Phone:301-404-9011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide