MEDICARE: MR. ANISIS ACHU

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	HHA200006331	DC

General Provider Information

NPI Number	:	1255189924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANISIS ACHU

Provider Business Mailing Address
First Line	:	9 VILLAGE GREEN CT
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20876-6953
Country	:	US
Telephone Number	:	978-596-8508
Fax Number	:

Provider Business Practice Location Address
First Line	:	2041 MARTIN LUTHER KING JR AVE SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-7024
Country	:	US
Telephone Number	:	202-722-1700
Fax Number	:

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

Provider Enumeration Date	:	05/08/2024
Last Update Date	:	05/15/2026

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