Healthcare Provider Details

I. General information

NPI: 1508797044
Provider Name (Legal Business Name): MILLICENT KIHIURIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR RD NW
WASHINGTON DC
20007-2113
US

IV. Provider business mailing address

6151 STRAWBERRY WAY
SALISBURY MD
21801-1790
US

V. Phone/Fax

Practice location:
  • Phone: 202-444-8640
  • Fax:
Mailing address:
  • Phone: 443-754-7154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number789790987
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: