Provider Demographics
NPI:1700064441
Name:MEMET, MAYINUR
Entity Type:Individual
Prefix:
First Name:MAYINUR
Middle Name:
Last Name:MEMET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MAYINUR
Other - Middle Name:
Other - Last Name:BARAT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7014 BEDROCK ROAD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306
Mailing Address - Country:US
Mailing Address - Phone:301-943-5487
Mailing Address - Fax:
Practice Address - Street 1:5100 AUTH WAY
Practice Address - Street 2:
Practice Address - City:SUITLAND
Practice Address - State:MD
Practice Address - Zip Code:20746
Practice Address - Country:US
Practice Address - Phone:301-702-5000
Practice Address - Fax:941-355-3243
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD171100000X
FLAP 2368171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist