MEDICARE: ADDIS TAMIRAT MEKURIA

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
1	374U00000X	Home Health Aide	HHA6429	DC

General Provider Information

NPI Number	:	1144590167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADDIS TAMIRAT MEKURIA

Provider Business Mailing Address
First Line	:	1356 BRYANT ST NE APT 2
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-1179
Country	:	US
Telephone Number	:	202-684-1253
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 18TH ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-2738
Country	:	US
Telephone Number	:	202-529-6510
Fax Number	:

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

Provider Enumeration Date	:	01/06/2012
Last Update Date	:	09/25/2025

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Directions to “ ADDIS TAMIRAT MEKURIA ” Practice Location

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