Healthcare Provider Details

I. General information

NPI: 1598909293
Provider Name (Legal Business Name): DR. JULIANA CHIDINMA OKAFOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIANA OKAFOR MBANUSI PHARM.D

II. Dates (important events)

Enumeration Date: 04/24/2009
Last Update Date: 04/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 GEORGIA AVE NW ORGAN TRANSPLANT/NEPHROLOGY CLINIC , BULIDING 2,WARD 48
WASHINGTON DC
20307-0003
US

IV. Provider business mailing address

6900 GEORGIA AVE NW
WASHINGTON DC
20307-0003
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-7749
  • Fax: 202-782-0185
Mailing address:
  • Phone: 202-782-7749
  • Fax: 202-782-0185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number19017
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: