Provider Demographics
NPI:1396536694
Name:ADADEVOH, BIAM
Entity type:Individual
Prefix:
First Name:BIAM
Middle Name:
Last Name:ADADEVOH
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 1:510 FIRESTONE DR
Mailing Address - Street 2:
Mailing Address - City:ASHTON
Mailing Address - State:MD
Mailing Address - Zip Code:20861-8007
Mailing Address - Country:US
Mailing Address - Phone:240-355-8003
Mailing Address - Fax:
Practice Address - Street 1:510 FIRESTONE DR
Practice Address - Street 2:
Practice Address - City:ASHTON
Practice Address - State:MD
Practice Address - Zip Code:20861-8007
Practice Address - Country:US
Practice Address - Phone:240-355-8003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide