Individual
EBAIDE BAKHTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA12621
Contact information
Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(202) 894-6811
Mailing address
9611 CEDARHOLLOW LN, UPPER MARLBORO, MD 20774-2266
(301) 531-0619
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
374U00000X
Home Health Aide
HHA12621
DC
Other
Enumeration date
12/21/2016
Last updated
08/01/2023
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