Healthcare Provider Details

I. General information

NPI: 1619110020
Provider Name (Legal Business Name): DAWIT HEALTHCARE SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2009
Last Update Date: 04/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 GEORGIA AVE NW SUITE 2322
WASHINGTON DC
20060-0001
US

IV. Provider business mailing address

12905 CRICKMORE TRCE
BOWIE MD
20720-4683
US

V. Phone/Fax

Practice location:
  • Phone: 202-865-1121
  • Fax:
Mailing address:
  • Phone: 301-805-4586
  • Fax: 301-805-1505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD034563
License Number StateDC

VIII. Authorized Official

Name: DAWIT YOHANNES
Title or Position: CEO
Credential: MD
Phone: 301-793-6563