| None | |
|
6323 Georgia Ave Nw Ste 206a Washington DC 20011-1141 | |
| (202) 291-2005 | |
| (202) 722-2632 |
| Full Name | None |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6323 Georgia Ave Nw Ste 206a, Washington, District Of Columbia |
| Authorized Official Name and Position | Emeka Sam Momah (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 2022912005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| None 12320 Eugenes Prospect Dr Bowie MD 20720-3373 Ph: (240) 235-1907 | None 6323 Georgia Ave Nw Ste 206a Washington DC 20011-1141 Ph: (202) 291-2005 |
| NPI Number | 1992956775 |
|---|---|
| Provider Enumeration Date | 10/10/2008 |
| Last Update Date | 10/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992956775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | DO034199 (District Of Columbia) | Primary |
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