Provider Demographics
NPI:1013487875
Name:NDEE, AMINA RASUL
Entity Type:Individual
Prefix:MRS
First Name:AMINA
Middle Name:RASUL
Last Name:NDEE
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 1:3576 POWDER MILL RD APT 204
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-3526
Mailing Address - Country:US
Mailing Address - Phone:202-361-6034
Mailing Address - Fax:
Practice Address - Street 1:3576 POWDER MILL RD APT 204
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-3526
Practice Address - Country:US
Practice Address - Phone:202-361-6034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA14126374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty