Basic Information
| Provider Information | |||||||||
| NPI: | 1871833764 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BELLO | ||||||||
| FirstName: | AZIM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3033 OLD CHANNEL RD | ||||||||
| Address2: | |||||||||
| City: | LAUREL | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207242922 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2402649162 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6856 EASTERN AVE NW STE 350 | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200122166 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2025450935 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/28/2013 | ||||||||
| LastUpdateDate: | 02/28/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 374U00000X | 2281849882010 | DC | Y | Nursing Service Related Providers | Home Health Aide |
No ID Information.