MEDICARE: SIRI ATANGA

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
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1518229319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIRI ATANGA

Provider Business Mailing Address
First Line	:	1200 G ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20005-3814
Country	:	US
Telephone Number	:	240-479-5993
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 G ST NW STE 800
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20005-6705
Country	:	US
Telephone Number	:	202-794-7159
Fax Number	:

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

Provider Enumeration Date	:	06/08/2012
Last Update Date	:	02/08/2022

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Directions to “ SIRI ATANGA ” Practice Location

Language	Start Address	Practice Location

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