Provider Demographics
NPI:1194268722
Name:NEGATU, REDAIT
Entity type:Individual
Prefix:
First Name:REDAIT
Middle Name:
Last Name:NEGATU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 M ST NE
Mailing Address - Street 2:APT 222
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3576
Mailing Address - Country:US
Mailing Address - Phone:240-413-8855
Mailing Address - Fax:
Practice Address - Street 1:2 M ST NE
Practice Address - Street 2:APT 222
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3576
Practice Address - Country:US
Practice Address - Phone:240-413-8855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-30
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide