MEDICARE: FABRICE TSEH

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	172V00000X	Community Health Worker
2	251S00000X	Community/Behavioral Health Agency
3	376K00000X	Nurse's Aide
4	261QC1500X	Community Health Clinic/Center
5	251E00000X	Home Health Agency	DC

General Provider Information

NPI Number	:	1093673451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FABRICE TSEH

Provider Business Mailing Address
First Line	:	6827 RIVERDALE RD APT C1
Second Line	:
City	:	RIVERDALE
State	:	MD
Zip	:	20737-1846
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6827 RIVERDALE RD APT C1
Second Line	:
City	:	RIVERDALE
State	:	MD
Zip	:	20737-1846
Country	:	US
Telephone Number	:	202-747-8017
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “ FABRICE TSEH ” Practice Location

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