Provider Demographics
NPI:1811750581
Name:BIYEH, ANGEL FOSSI
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:FOSSI
Last Name:BIYEH
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 1:4000 MASSACHUSETTS AVE NW # 3116
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-5105
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4515 BANNER ST
Practice Address - Street 2:
Practice Address - City:NORTH BRENTWOOD
Practice Address - State:MD
Practice Address - Zip Code:20722-1217
Practice Address - Country:US
Practice Address - Phone:202-910-0366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant