Individual
KHADIJAT BASHIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5648 WHITFIELD CHAPEL RD APT 104, LANHAM, MD 20706-2562
(202) 706-9686
Mailing address
5648 WHITFIELD CHAPEL RD APT 104, LANHAM, MD 20706-2562
(202) 706-9686
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11247
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA11247
HOME HEALTH AIDE
DC
Enumeration date
05/18/2015
Last updated
05/18/2015
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