Healthcare Provider Details

I. General information

NPI: 1750028981
Provider Name (Legal Business Name): FAYZA MEQUANINT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2022
Last Update Date: 05/18/2022
Certification Date: 05/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15116 REDGATE DR
SILVER SPRING MD
20905-5729
US

IV. Provider business mailing address

15116 REDGATE DR
SILVER SPRING MD
20905-5729
US

V. Phone/Fax

Practice location:
  • Phone: 202-940-3606
  • Fax:
Mailing address:
  • Phone: 202-940-3606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: