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NPI Code Detail

MEDICARE: BLESSING VATHRI AFOR

MEDICARE: BLESSING VATHRI AFOR
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1073456380
Entity Type Code : Individual
Provider Name (Legal Business Name) : BLESSING VATHRI AFOR
Provider Business Mailing Address
First Line : 13920 CASTLE BLVD APT 310
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-4958
Country : US
Telephone Number : 240-426-3850
Fax Number :
Provider Business Practice Location Address
First Line : 4660 MARTIN LUTHER KING JR AVE SW STE A1
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-4958
Country : US
Telephone Number : 202-318-0179
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2026
Last Update Date : 04/13/2026

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