Mr Neiville Aghandum Tezi Jr, is a
Case Manager/care Coordinator based in 2041 Mlk Jr. Ave Se, Suite, District Of Columbia. Mr Neiville Aghandum Tezi Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is
6715 Lamont Dr, 2041 Mlk Jr. Ave Se, Suite, District Of Columbia. He can be reached at his office (for appointments etc.) via phone at
(240) 487-8072.
NPI number for Mr Neiville Aghandum Tezi Jr is 1922794122 and his current mailing address is 6715 Lamont Dr, Lanham, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922794122.
Healthcare Provider's Profile
Full Name | Mr Neiville Aghandum Tezi Jr |
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Gender | Male |
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Speciality | Case Manager/care Coordinator |
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Location | 6715 Lamont Dr, 2041 Mlk Jr. Ave Se, Suite, District Of Columbia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922794122
- Provider Enumeration Date: 04/12/2023
- Last Update Date: 06/01/2023
Medical Identifiers
Medical identifiers for Mr Neiville Aghandum Tezi Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922794122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Neiville Aghandum Tezi Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Neiville Aghandum Tezi Jr, 6715 Lamont Dr, Lanham, MD 20706-3734 Ph: (240) 487-8072 | Mr Neiville Aghandum Tezi Jr, 6715 Lamont Dr, 2041 Mlk Jr. Ave Se, Suite, DC 20020 Ph: (240) 487-8072 |
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