Healthcare Provider Details

I. General information

NPI: 1386568905
Provider Name (Legal Business Name): TY TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 EVARTS ST NE # 4
WASHINGTON DC
20018-1430
US

IV. Provider business mailing address

2615 EVARTS ST NE
WASHINGTON DC
20018-1430
US

V. Phone/Fax

Practice location:
  • Phone: 202-374-5300
  • Fax:
Mailing address:
  • Phone: 202-374-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: MR. TADELE ABEBE
Title or Position: OWNER
Credential:
Phone: 202-374-5300