Provider Demographics
NPI:1205426004
Name:ALEMU, DAWIT ABRAHAM
Entity type:Individual
Prefix:
First Name:DAWIT
Middle Name:ABRAHAM
Last Name:ALEMU
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 1:20225 LEA POND PL
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20886-1270
Mailing Address - Country:US
Mailing Address - Phone:240-342-0715
Mailing Address - Fax:
Practice Address - Street 1:7509 8TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1813
Practice Address - Country:US
Practice Address - Phone:202-594-4933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant