| Howard University Faculty Practice Plan | |
|
4414 Benning Rd Ne Fl 2 Washington DC 20019-4555 | |
| (202) 865-2120 | |
| (202) 396-2030 |
| Full Name | Howard University Faculty Practice Plan |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4414 Benning Rd Ne Fl 2, Washington, District Of Columbia |
| Authorized Official Name and Position | Roberta Odindo (PROVIDER ENROLLMENT MANAGER) |
| Authorized Official Contact | 2028656679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Howard University Faculty Practice Plan 2041 Georgia Ave Nw Ste 6101 Washington DC 20060-0001 | Howard University Faculty Practice Plan 4414 Benning Rd Ne Fl 2 Washington DC 20019-4555 Ph: (202) 865-2120 |
| NPI Number | 1215582978 |
|---|---|
| Provider Enumeration Date | 08/08/2019 |
| Last Update Date | 06/09/2025 |
| Certification Date | 06/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215582978 | NPI | - | NPPES |
| 034501300 | Medicaid | DC | |
| 034503800 | Medicaid | DC | |
| 034504600 | Medicaid | DC | |
| 034507900 | Medicaid | DC | |
| 082068700 | Medicaid | DC | |
| 034508700 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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