Provider Demographics
NPI:1114899093
Name:ASRESSAW, DECHASSA
Entity type:Individual
Prefix:MR
First Name:DECHASSA
Middle Name:
Last Name:ASRESSAW
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9100 THISTLEDOWN RD APT 280
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-8272
Mailing Address - Country:US
Mailing Address - Phone:919-349-8490
Mailing Address - Fax:
Practice Address - Street 1:9100 THISTLEDOWN RD APT 280
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-8272
Practice Address - Country:US
Practice Address - Phone:919-349-8490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty