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NPI Code Detail

MEDICARE: BERHAN EWNETU

MEDICARE:   BERHAN  EWNETU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health AideHHA200006587DC

General Provider Information

NPI Number : 1073449955
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERHAN EWNETU
Provider Business Mailing Address
First Line : 1111 UNIVERSITY BLVD W
Second Line :
City : SILVER SPRING
State : MD
Zip : 20902-3351
Country : US
Telephone Number : 202-758-8711
Fax Number :
Provider Business Practice Location Address
First Line : 1111 UNIVERSITY BLVD W
Second Line :
City : SILVER SPRING
State : MD
Zip : 20902-3351
Country : US
Telephone Number : 202-758-8711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2026
Last Update Date : 06/19/2026

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Directions to “ BERHAN EWNETU ” Practice Location

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