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945 G Street Nw Washington DC 20001 | |
| (202) 824-0460 | |
| (202) 824-0461 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 945 G Street Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Robert E Rogers (ACTING PRESIDENT CEO) |
| Authorized Official Contact | 3014592020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
7901 Annapolis Road Lanham MD 20706 Ph: (301) 459-2020 | 945 G Street Nw Washington DC 20001 Ph: (202) 824-0460 |
| NPI Number | 1336177492 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 01/31/2024 |
| Certification Date | 05/03/2021 |
| Medicare PECOS PAC ID | 0749326064 |
|---|---|
| Medicare Enrollment ID | O20090930000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336177492 | NPI | - | NPPES |
| Provider Name | Umar Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376633321 PECOS PAC ID: 5092792713 Enrollment ID: I20040701000268 |
| Provider Name | Constance N Flanagan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891946810 PECOS PAC ID: 5991970345 Enrollment ID: I20120127000097 |
| Provider Name | Binta Bojang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235655978 PECOS PAC ID: 8820340359 Enrollment ID: I20190430002131 |
| Provider Name | Amy Holden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083219216 PECOS PAC ID: 6204241268 Enrollment ID: I20210225000125 |
| Provider Name | Judith Besem Akoh-arrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699336651 PECOS PAC ID: 5698930139 Enrollment ID: I20210323000094 |
| Provider Name | Daniel Bochicchio |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689757791 PECOS PAC ID: 3779575493 Enrollment ID: I20210331000039 |
| Provider Name | Althea I Miller-umar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134885007 PECOS PAC ID: 8224421532 Enrollment ID: I20220209002106 |
| Provider Name | Justina Kenna Ugorji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437796901 PECOS PAC ID: 8426448655 Enrollment ID: I20230305000001 |
| Provider Name | Cecilia Agha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679023261 PECOS PAC ID: 5294103578 Enrollment ID: I20230403002861 |
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