Healthcare Provider Details

I. General information

NPI: 1225388036
Provider Name (Legal Business Name): FRANKLIN WARAH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2012
Last Update Date: 03/15/2023
Certification Date: 03/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 MARTIN LUTHER KING JR AVE SE
WASHINGTON DC
20020-7024
US

IV. Provider business mailing address

1818 NEW YORK AV 117 GLOBAL HEALTH CARE
WASHINGTON DC
20002
US

V. Phone/Fax

Practice location:
  • Phone: 202-547-8450
  • Fax: 202-610-7147
Mailing address:
  • Phone: 202-480-0813
  • Fax: 202-503-2363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: