Healthcare Provider Details

I. General information

NPI: 1265265110
Provider Name (Legal Business Name): DANJEL HYSENI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2024
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2240 M ST NW
WASHINGTON DC
20037-1415
US

IV. Provider business mailing address

933 5TH ST SE
WASHINGTON DC
20003-4518
US

V. Phone/Fax

Practice location:
  • Phone: 202-469-9800
  • Fax:
Mailing address:
  • Phone: 202-209-5823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: