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NPI Code Detail

MEDICARE: BERTRAND ASANJI

MEDICARE: BERTRAND ASANJI
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
1101YM0800XMental Health Counselor
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1518677004
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERTRAND ASANJI
Provider Business Mailing Address
First Line : 7701 TOPTON ST
Second Line :
City : NEW CARROLLTON
State : MD
Zip : 20784-2957
Country : US
Telephone Number : 202-446-8465
Fax Number :
Provider Business Practice Location Address
First Line : 6323 GEOGIA AVE NW
Second Line : 360
City : WASHINGTON
State : DC
Zip : 20011-1101
Country : US
Telephone Number : 202-621-8494
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2022
Last Update Date : 06/24/2026

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Directions to “ BERTRAND ASANJI ” Practice Location

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