Mr Neiville Aghandum Tezi Jr, - Counselor in 2041 Mlk Jr. Ave Se, Suite, DC

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.

Contact Information

Mr Neiville Aghandum Tezi Jr,
6715 Lamont Dr,
2041 Mlk Jr. Ave Se, Suite, DC 20020
(240) 487-8072
Not Available

Healthcare Provider's Profile

Full NameMr Neiville Aghandum Tezi Jr
GenderMale
SpecialityCase Manager/care Coordinator
Location6715 Lamont Dr, 2041 Mlk Jr. Ave Se, Suite, District Of Columbia
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1922794122NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
171M00000XCase 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 AddressPractice 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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Case Manager/Care Coordinator in 2041 Mlk Jr. Ave Se, Suite, DC


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