Provider Demographics
NPI:1982411336
Name:BAJAEIFIR, QAIS
Entity type:Individual
Prefix:
First Name:QAIS
Middle Name:
Last Name:BAJAEIFIR
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 1:22484 VERDE GATE TER
Mailing Address - Street 2:
Mailing Address - City:BRAMBLETON
Mailing Address - State:VA
Mailing Address - Zip Code:20148-3650
Mailing Address - Country:US
Mailing Address - Phone:202-644-1738
Mailing Address - Fax:
Practice Address - Street 1:22484 VERDE GATE TER
Practice Address - Street 2:
Practice Address - City:BRAMBLETON
Practice Address - State:VA
Practice Address - Zip Code:20148-3650
Practice Address - Country:US
Practice Address - Phone:202-644-1738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker