Provider Demographics
NPI:1154801249
Name:BAYU, AHLAM NEGA (HHA)
Entity type:Individual
Prefix:
First Name:AHLAM
Middle Name:NEGA
Last Name:BAYU
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 MAPLE AVE APT 908
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-5555
Mailing Address - Country:US
Mailing Address - Phone:240-505-2038
Mailing Address - Fax:
Practice Address - Street 1:7600 MAPLE AVE APT 908
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-5555
Practice Address - Country:US
Practice Address - Phone:240-505-2038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA13894374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide