Healthcare Provider Details

I. General information

NPI: 1720911589
Provider Name (Legal Business Name): HIWOT DEMEKE HABTAMU ADDIS ABABA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7150 12TH ST NW APT 234
WASHINGTON DC
20012-1784
US

IV. Provider business mailing address

1913 ROSEMARY HILLS DR UNIT R2
SILVER SPRING MD
20910-2450
US

V. Phone/Fax

Practice location:
  • Phone: 202-945-3173
  • Fax:
Mailing address:
  • Phone: 202-441-3282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: