Provider Demographics
NPI:1528326378
Name:ASHU, MARTHA A
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:A
Last Name:ASHU
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 1:7955 RIGGS RD APT 9
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-4565
Mailing Address - Country:US
Mailing Address - Phone:240-602-5005
Mailing Address - Fax:
Practice Address - Street 1:3500 18TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-2738
Practice Address - Country:US
Practice Address - Phone:202-529-6510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-30
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA1027374U00000X
171100000X, 171W00000X, 176B00000X, 172V00000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No171100000XOther Service ProvidersAcupuncturist
No171W00000XOther Service ProvidersContractor
No176B00000XOther Service ProvidersMidwife
No171M00000XOther Service ProvidersCase Manager/Care Coordinator