Healthcare Provider Details

I. General information

NPI: 1225932122
Provider Name (Legal Business Name): MAHIDER BERHANU ZERGA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 MALIBU DR
SILVER SPRING MD
20901-3649
US

IV. Provider business mailing address

811 MALIBU DR
SILVER SPRING MD
20901-3649
US

V. Phone/Fax

Practice location:
  • Phone: 570-762-0694
  • Fax:
Mailing address:
  • Phone: 570-762-0694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: