Yasser Ajabnoor

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Washington, DC

NPI 1275929226 · NPPES record last updated Apr 7, 2015

Key facts

NPI
1275929226
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
E69626889 (VA)
Practice address
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone
(202) 741-3000
NPI assigned
Apr 7, 2015
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
E69626889VAMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X E69626889 VA Yes

Addresses

Primary practice location

2150 Pennsylvania Ave NW
Washington, DC 20037-3201

Mailing address

2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-3000

Other providers in Washington, DC

All providers in Washington, DC · Student in an Organized Health Care Education/Training Program in District of Columbia

Sources for this page

Verify at the official NPI Registry.