Provider Demographics
NPI:1265791602
Name:ZEGEYE, ATSEDE YOHANESS
Entity type:Individual
Prefix:
First Name:ATSEDE
Middle Name:YOHANESS
Last Name:ZEGEYE
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 1:12630 VEIRS MILL RD APT 7
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-3566
Mailing Address - Country:US
Mailing Address - Phone:301-693-3026
Mailing Address - Fax:
Practice Address - Street 1:12630 VEIRS MILL RD APT 7
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853-3566
Practice Address - Country:US
Practice Address - Phone:301-693-3026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-04
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide