Provider Demographics
NPI:1396556056
Name:LKHAGVAJAV, ERDENECHIMEG
Entity type:Individual
Prefix:
First Name:ERDENECHIMEG
Middle Name:
Last Name:LKHAGVAJAV
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 1:2300 24TH RD S APT 517
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-2615
Mailing Address - Country:US
Mailing Address - Phone:703-973-6147
Mailing Address - Fax:
Practice Address - Street 1:2480 16TH ST NW APT 933
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-6711
Practice Address - Country:US
Practice Address - Phone:202-415-7236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant