Provider Demographics
NPI:1528946191
Name:BAH, FATMATA
Entity type:Individual
Prefix:
First Name:FATMATA
Middle Name:
Last Name:BAH
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 1:11434 STEWART LN APT D2
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2224
Mailing Address - Country:US
Mailing Address - Phone:240-486-3091
Mailing Address - Fax:
Practice Address - Street 1:AVA HEALTH CARE CENTER, 6323 GEORGIA AVE NW
Practice Address - Street 2:STE 106
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1101
Practice Address - Country:US
Practice Address - Phone:202-545-5060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator