Provider Demographics
NPI:1972949147
Name:CHENWI, CARL
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:
Last Name:CHENWI
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 1:38 ORCHARD TOWNE CT
Mailing Address - Street 2:APT 303
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4161
Mailing Address - Country:US
Mailing Address - Phone:202-545-0211
Mailing Address - Fax:202-545-0934
Practice Address - Street 1:38 ORCHARD TOWNE CT
Practice Address - Street 2:APT 303
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4161
Practice Address - Country:US
Practice Address - Phone:202-545-0211
Practice Address - Fax:202-545-0934
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide