Provider Demographics
NPI:1861270340
Name:CATHOLIC UNIVERSITY OF AMERICA
Entity type:Organization
Organization Name:CATHOLIC UNIVERSITY OF AMERICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTORAL CANDIDATE
Authorized Official - Prefix:
Authorized Official - First Name:HAREGNESH
Authorized Official - Middle Name:
Authorized Official - Last Name:HAILE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:240-559-8723
Mailing Address - Street 1:620 MICHIGAN AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20064-0002
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:620 MICHIGAN AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20064-0002
Practice Address - Country:US
Practice Address - Phone:202-319-5750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty