Provider Demographics
NPI:1730923897
Name:ALI ZATCHI, FAWZIYA
Entity type:Individual
Prefix:MRS
First Name:FAWZIYA
Middle Name:
Last Name:ALI ZATCHI
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 1:2002 OGLETHORPE ST APT 101
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-2714
Mailing Address - Country:US
Mailing Address - Phone:240-936-8255
Mailing Address - Fax:
Practice Address - Street 1:2002 OGLETHORPE ST APT 101
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-2714
Practice Address - Country:US
Practice Address - Phone:240-936-8255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200003504374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide