Provider Demographics
NPI:1811877202
Name:TIRUNEH, YIHEYES
Entity type:Individual
Prefix:
First Name:YIHEYES
Middle Name:
Last Name:TIRUNEH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10110 MOLECULAR DR STE 114
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-7538
Mailing Address - Country:US
Mailing Address - Phone:301-780-4745
Mailing Address - Fax:
Practice Address - Street 1:10110 MOLECULAR DR STE 114
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-7538
Practice Address - Country:US
Practice Address - Phone:301-780-4745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR197139363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner