Provider Demographics
NPI:1912938408
Name:AFEWORK, ESKINDER (MD)
Entity Type:Individual
Prefix:
First Name:ESKINDER
Middle Name:
Last Name:AFEWORK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 LINTON KNOLL CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1270
Mailing Address - Country:US
Mailing Address - Phone:301-879-7427
Mailing Address - Fax:
Practice Address - Street 1:200 LINTON KNOLL CT
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1270
Practice Address - Country:US
Practice Address - Phone:301-879-7427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101054698207P00000X
MDD0051128207P00000X
DCMD22010207P00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD413046400Medicaid
MD831001700Medicaid
MD413046400Medicaid
MD831001700Medicaid
MD489P940GMedicare PIN