Provider Demographics
NPI:1588334239
Name:GEBREHIWET, YOKABED R
Entity type:Individual
Prefix:MS
First Name:YOKABED
Middle Name:R
Last Name:GEBREHIWET
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 1:3636 16TH ST NW APT B709
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-1121
Mailing Address - Country:US
Mailing Address - Phone:202-276-8531
Mailing Address - Fax:
Practice Address - Street 1:1325 UPSHUR ST NW APT 505
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5658
Practice Address - Country:US
Practice Address - Phone:202-469-2434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No126800000XDental ProvidersDental Assistant