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NPI Code Detail

MEDICARE: FEDILA SIRAJ

MEDICARE:   FEDILA  SIRAJ
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
1374U00000XHome Health AideHHA13295DC

General Provider Information

NPI Number : 1952816183
Entity Type Code : Individual
Provider Name (Legal Business Name) : FEDILA SIRAJ
Provider Business Mailing Address
First Line : 2621 NICHOLSON ST APT 201
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20782-2654
Country : US
Telephone Number : 385-445-1008
Fax Number :
Provider Business Practice Location Address
First Line : 2621 NICHOLSON ST APT 201
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20782-2654
Country : US
Telephone Number : 385-445-1008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2017
Last Update Date : 12/11/2017

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Directions to “ FEDILA SIRAJ ” Practice Location

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