Healthcare Provider Details

I. General information

NPI: 1811232424
Provider Name (Legal Business Name): FLORA VEKAN TOH HHA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2012
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6306 JOHENSU DR
UPPER MARLBORO MD
20772-3830
US

IV. Provider business mailing address

6731 NEW HAMPSHIRE AVE APT 601
TAKOMA PARK MD
20912-2805
US

V. Phone/Fax

Practice location:
  • Phone: 301-328-6139
  • Fax:
Mailing address:
  • Phone: 202-545-0935
  • Fax: 202-545-0176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License Number1046264
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: