Provider Demographics
NPI:1952059628
Name:BERIHUN, BETELIHEM
Entity Type:Individual
Prefix:
First Name:BETELIHEM
Middle Name:
Last Name:BERIHUN
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 1:4205 ARKANSAS AVE NW APT 4
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-5541
Mailing Address - Country:US
Mailing Address - Phone:202-378-8581
Mailing Address - Fax:
Practice Address - Street 1:4205 ARKANSAS AVE NW APT 4
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5541
Practice Address - Country:US
Practice Address - Phone:202-378-8581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-12
Last Update Date:2022-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care